Accura HealthCare of Carlisle

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Carlisle, IA

CMS overall rating

680 Cole Street, Carlisle, Ia 500478733 View map

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Accura HealthCare of Carlisle accepts Medicare, Medicaid, and private pay.

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Accura HealthCare of Carlisle accepts Medicare, Medicaid, and private pay.

Overview of Accura HealthCare of Carlisle

Accura HealthCare of Carlisle operates an 80-bed multi-tier care campus at 680 Cole Street in Carlisle, Iowa. Managed by American HealthCare Associates Inc., the facility typically runs at an 88 percent occupancy rate. The admissions desk processes incoming balances through individual private accounts, federal Medicare coverage, and standard state Medicaid plans. Stays average roughly 178 days per resident, maintaining a routine population mix that blends short-term post-hospital rehabilitation with extended nursing home care.

The campus is structured as a full continuum community, grouping independent housing, assisted living units, and a dedicated memory care program alongside the main skilled medical wing. To deliver daily physical treatments, speech-language therapy, and regular respite sessions, floor schedules organize 24-hour shifts that supply a daily average of 5 hours and 51 minutes of direct hands-on nursing care per resident.

Certified nursing assistants manage 3 hours and 11 minutes of this bedside time, while registered nurses cover 45 minutes, and licensed practical nurses provide 42 minutes of clinical tracking. Outside the property, the surrounding neighborhood sits near regional Des Moines medical hubs and records a walkability score of 50 out of 100, which means visitors can manage a few common tasks on foot while broader regional trips require a short drive.

Prospective families can call the front office to check on independent apartment openings, request details about the specialized memory care units, or coordinate an afternoon walkthrough of the campus grounds.

Facility Direct Line (515) 989-0871

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident

5h 51m per day

This facility Iowa avg (4h 18m per day)

vs Iowa avg

+36%

1 of 6 metrics below state avg

Standout metric Weekend RN is +44% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	45m per day	▲ 3% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	42m per day	▲ 24% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 11m per day	▲ 26% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 3m per day	▲ 21% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 66% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	43m per day	▲ 44% State avg: 30m per day · National avg: 28m per day

Capacity and availability

178 days

80-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 50 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

88%

Higher than the Iowa average: 75.4%

Occupied beds

70 / 80

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationJanuary 1, 2027

CountyWarren

License Number910796

CMS Certification Number165255

Certification TypeFALSE

Accura HealthCare of Carlisle is administered by Kaylyn Fisher.

Rehabilitation Services

Respite Care

Email kaylyn.fisher@accura.healthcare

Fax5159890007

Pets not allowed

Since 2020 · 6 years of data 62 deficiencies 31 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	62	27	This facility has 130% more total deficiencies than a typical Iowa nursing home (62 vs. IA avg 27).↑ 130% worse
Deficiencies per inspection Average deficiencies per inspection.	2	1.8	This facility has 11% more deficiencies per inspection than a typical Iowa nursing home (2 vs. IA avg 1.8).↑ 11% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all inspections conducted at this facility.	31	15	This facility has had 107% more total inspections than the Iowa average (31 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 107% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on September 10, 2025 found the facility in substantial compliance with no deficiencies.
The July 28, 2025 annual survey identified eight deficiencies including inaccurate MDS assessments, medication errors, infection control failures, and unsafe catheter and resident care practices.
Complaints from early 2025 were substantiated for dignity violations, pressure ulcer prevention failures, and medication administration errors, but plans of correction were accepted and partial compliance was achieved by September 2025.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average 4.9

Last Health inspection on May 2025

Total health citations

State average 21.7

Citations per inspection

5.67

State average 4.11

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 17 citations resulted from standard inspections; and 3 of 17 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than State average

State average: 0.6

Serious health citations

122% worse than State average

State average: 0.9

0 critical citations State average: 0.6

2 serious citations State average: 0.9

15 moderate citations State average: 19.7

0 minor citations State average: 0.5

Citations history (last 3 years)

Abuse/Neglect moderate citation May 29, 2025

Corrected

Infection Control moderate citation May 29, 2025

Corrected

Nutrition moderate citation May 29, 2025

Corrected

Nutrition moderate citation May 29, 2025

Corrected

Total staff 83

Employees 71

Contractors 12

Staff to resident ratio 2.13 : 1

0% compared with Iowa average

Avg staff/day 29

Average shift 7 hours

5% worse than Iowa average

Total staff hours (quarter) 18,775

Nursing staff breakdown

8.7 hours

7.1 hours

Contractor staffing

655 contractor hours this quarter

Physical Therapy Assistant: 5 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Speech Language Pathologist: 1 Medical Director: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	36	0	36	8,966	92	100%	7.1
Medication Aide/Technician	13	0	13	2,502	92	100%	6.8
Registered Nurse	5	0	5	2,362	92	100%	8.7
Licensed Practical Nurse	9	0	9	1,489	91	99%	7.1
RN Director of Nursing	2	0	2	1,033	66	72%	8.2
Dietitian	1	0	1	523	64	70%	8.2
Administrator	1	0	1	512	64	70%	8
Dental Services Staff	1	0	1	379	52	57%	7.3
Clinical Nurse Specialist	1	0	1	280	41	45%	6.8
Occupational Therapy Aide	0	1	1	195	39	42%	5
Speech Language Pathologist	0	1	1	143	53	58%	2.7
Occupational Therapy Assistant	0	1	1	130	26	28%	5
Medical Director	0	1	1	78	13	14%	6
Nurse Practitioner	2	0	2	75	12	13%	6.2
Physical Therapy Assistant	0	5	5	42	26	28%	1.5
Respiratory Therapy Technician	0	1	1	41	18	20%	2.3
Physical Therapy Aide	0	1	1	23	23	25%	1
Qualified Social Worker	0	1	1	4	8	9%	0.6

36 Certified Nursing Assistant

% of Days 100%

13 Medication Aide/Technician

% of Days 100%

5 Registered Nurse

% of Days 100%

9 Licensed Practical Nurse

% of Days 99%

2 RN Director of Nursing

% of Days 72%

1 Dietitian

% of Days 70%

1 Administrator

% of Days 70%

1 Dental Services Staff

% of Days 57%

1 Clinical Nurse Specialist

% of Days 45%

1 Occupational Therapy Aide

% of Days 42%

1 Speech Language Pathologist

% of Days 58%

1 Occupational Therapy Assistant

% of Days 28%

1 Medical Director

% of Days 14%

2 Nurse Practitioner

% of Days 13%

5 Physical Therapy Assistant

% of Days 28%

1 Respiratory Therapy Technician

% of Days 20%

1 Physical Therapy Aide

% of Days 25%

1 Qualified Social Worker

% of Days 9%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 9.1

11% better than Iowa average

Iowa average: 10.2

Functional decline score 19.3

10% better than Iowa average

Iowa average: 21.6

Long-stay resident measures

Below average Iowa avg: 3.3

Need for Help with Daily Activities Increased 19.3%

In line with Iowa average

Iowa average: 18.8%

Walking Ability Worsened 17.6%

11% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 21.1%

19% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury 0.6%

83% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 0.9%

80% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 2.6%

5% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 7.1%

42% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms 4.1%

6% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use 16.6%

13% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 99.4%

5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine 100.0%

5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 1.40

5% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 1.76

16% better than Iowa average

Iowa average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 100.0%

18% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 0.0%

100% better than Iowa average

Iowa average: 1.8%

Breakdown by payment type

Medicare

13% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

55% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Total residents 39

Medicare

2.6% of residents

Medicaid

51.3% of residents

Private pay or other

46.2% of residents

Financial Trends

Historical financial and operational data for Accura HealthCare of Carlisle from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 80.5% ↑ 15.1pp vs 2022

Net Patient Income -$350.3K ↑ ~$409.3K vs 2022

Payroll Costs $2.8M ↑ ~$944.5K vs 2022

Operating Margin -9.9% ↑ 22.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2020	2021	2022	2023
Occupancy %	86.2%	80.0%	77.4%	83.2%	81.5%	76.8%	73.4%	70.0%	47.6%	65.4%	80.5%
Beds	65	65	65	65	65	65	65	46	46	46	46
Net Income	$384,955	$320,841	$284,246	$338,215	$304,195	$148,844	-$34,094	$641	-$113,144	-$708,316	-$331,726
Gross Revenue	$3,128,941	$2,946,512	$2,863,527	$3,017,561	$2,942,651	$2,786,905	$2,833,286	$3,021,975	$2,404,642	$3,272,690	$4,098,046
Operating Expenses	$2,493,661	$2,435,219	$2,377,575	$2,481,710	$2,463,949	$2,589,418	$2,652,943	$2,939,647	$2,586,308	$3,133,459	$3,902,625
Net Patient Income	$478,543	$362,693	$355,596	$416,954	$381,444	$133,741	$48,092	-$78,292	-$693,934	-$759,598	-$350,271
Net Patient Revenue	$2,972,204	$2,797,912	$2,733,171	$2,898,664	$2,845,393	$2,723,159	$2,701,035	$2,861,355	$1,892,374	$2,373,861	$3,552,354
Payroll Costs	$1,668,641	$1,670,566	$1,649,701	$1,683,849	$1,625,680	$1,604,219	$1,787,902	$1,664,696	$1,410,365	$1,839,825	$2,784,313
Operating Margin %	16.1%	13.0%	13.0%	14.4%	13.4%	4.9%	1.8%	-2.7%	-36.7%	-32.0%	-9.9%
Medicare %	3.1%	2.3%	2.7%	1.8%	1.3%	1.2%	2.7%	13.9%	10.2%	5.6%	1.7%
Medicaid %	34.6%	33.8%	30.4%	27.4%	34.6%	32.5%	37.8%	37.7%	47.6%	58.5%	58.5%
Private %	62.3%	63.9%	66.9%	70.8%	64.1%	66.4%	59.5%	48.4%	42.1%	35.9%	39.8%
Net Patient Revenue/Day	$145	$147	$149	$147	$147	$149	$155	$243	$237	$216	$263
Cost/Day	$122	$128	$130	$126	$127	$142	$152	$249	$324	$286	$289
Avg Length of Stay	292.0 days	218.8 days	171.5 days	227.0 days	288.5 days	225.7 days	187.3 days	161.5 days	296.0 days	685.9 days	177.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.6M

Net patient income

-$350.3K

For-profit Operated by a single business entity.

Net patient revenue

$3.6M

Net patient income

-$350.3K

Other income

$18.5K

Payroll costs

$2.8M 78.4% of net patient revenue

Other operating costs

$1.1M

Total costs

$3.9M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 13%

Private pay 55%

Medicaid 32%

Coverage residents most often leave under.

Medicare 9%

Private pay 61%

Medicaid 30%

0.0 miles from city center Estimated distance in miles from Carlisle's city center to Accura HealthCare of Carlisle's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

CMS & IA Dept. of Health data


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	66 Facility 66 IA AVG 71 Rank #181 / 406	-	-	4.19 Facility 4.19 IA AVG 4.30 Rank #119 / 245	0%	-2%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	2 Facility 2 IA AVG 21.7 Rank #6 / 244	2.0 Facility 2.0 IA AVG 4.1 Rank #22 / 244	-	67	-	69 Facility 69 IA AVG 45 Rank #103 / 528	Mike Brannon	$9.2MFiscal year ending 12/2023 Facility $9.2MFiscal year ending 12/2023 IA AVG $7.0M Rank #69 / 246	$6.2MFiscal year ending 12/2023 Facility $6.2MFiscal year ending 12/2023 IA AVG $3.1M Rank #39 / 246	68%Fiscal year ending 12/2023 Facility 68%Fiscal year ending 12/2023 IA AVG 46.3% Rank #47 / 246	165584
St Francis Manor	NH AL HOS SNF	Grinnell	78 Facility 78 IA AVG 71 Rank #119 / 406	69.2% Facility 69.2% IA AVG 64.7 Rank #193 / 379	+7%	5.32 Facility 5.32 IA AVG 4.30 Rank #24 / 245	+34%	+24%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	1 Facility 1 IA AVG 21.7 Rank #1 / 244	1.0 Facility 1.0 IA AVG 4.1 Rank #1 / 244	-	54	-	82 Facility 82 IA AVG 45 Rank #39 / 528	St Francis Manor Inc	$7.3MFiscal year ending 12/2023 Facility $7.3MFiscal year ending 12/2023 IA AVG $7.0M Rank #74 / 246	$5.0MFiscal year ending 12/2023 Facility $5.0MFiscal year ending 12/2023 IA AVG $3.1M Rank #42 / 246	69.4%Fiscal year ending 12/2023 Facility 69.4%Fiscal year ending 12/2023 IA AVG 46.3% Rank #63 / 246	165480
Friendship Village	NH AL IL MC SNF	Waterloo	72 Facility 72 IA AVG 71 Rank #143 / 406	91.7% Facility 91.7% IA AVG 64.7 Rank #41 / 379	+42%	6.17 Facility 6.17 IA AVG 4.30 Rank #3 / 245	+5%	+44%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	8 Facility 8 IA AVG 21.7 Rank #48 / 244	2.0 Facility 2.0 IA AVG 4.1 Rank #22 / 244	1	66	-	52 Facility 52 IA AVG 45 Rank #202 / 528	Friends Of Faith Retirement Homes, Inc	$14.2MFiscal year ending 03/2024 Facility $14.2MFiscal year ending 03/2024 IA AVG $7.0M Rank #12 / 246	$11.6MFiscal year ending 03/2024 Facility $11.6MFiscal year ending 03/2024 IA AVG $3.1M Rank #7 / 246	81.4%Fiscal year ending 03/2024 Facility 81.4%Fiscal year ending 03/2024 IA AVG 46.3% Rank #117 / 246	165081
Prairie Vista Village	NH AL IL SNF	South Altoona	68 Facility 68 IA AVG 71 Rank #170 / 406	50.0% Facility 50.0% IA AVG 64.7 Rank #255 / 379	-23%	4.71 Facility 4.71 IA AVG 4.30 Rank #64 / 245	-20%	+10%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	5 Facility 5 IA AVG 21.7 Rank #19 / 244	1.3 Facility 1.3 IA AVG 4.1 Rank #9 / 244	-	34	A	29 Facility 29 IA AVG 45 Rank #372 / 528	John Freeman	$9.1MFiscal year ending 12/2023 Facility $9.1MFiscal year ending 12/2023 IA AVG $7.0M Rank #62 / 246	$3.7MFiscal year ending 12/2023 Facility $3.7MFiscal year ending 12/2023 IA AVG $3.1M Rank #72 / 246	40.8%Fiscal year ending 12/2023 Facility 40.8%Fiscal year ending 12/2023 IA AVG 46.3% Rank #175 / 246	165610
Accura HealthCare of Carlisle	NH HOS MC PC RC SNF	Carlisle	80 Facility 80 IA AVG 71 Rank #105 / 406	87.5% Facility 87.5% IA AVG 64.7 Rank #71 / 379	+35%	5.85 Facility 5.85 IA AVG 4.30 Rank #10 / 245	-49%	+36%	$0 Facility $0 IA AVG $53.4k Rank #1 / 251	17 Facility 17 IA AVG 21.7 Rank #130 / 244	5.7 Facility 5.7 IA AVG 4.1 Rank #192 / 244	2	70	-	50 Facility 50 IA AVG 45 Rank #225 / 528	American Healthcare Associates Inc	$3.6MFiscal year ending 12/2023 Facility $3.6MFiscal year ending 12/2023 IA AVG $7.0M Rank #210 / 246	$2.8MFiscal year ending 12/2023 Facility $2.8MFiscal year ending 12/2023 IA AVG $3.1M Rank #170 / 246	78.4%Fiscal year ending 12/2023 Facility 78.4%Fiscal year ending 12/2023 IA AVG 46.3% Rank #15 / 246	165311

Nursing Home Explorer

Is Accura HealthCare of Carlisle in a walkable area?

Accura HealthCare of Carlisle has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Accura HealthCare of Carlisle?

According to IA state health department records, Accura HealthCare of Carlisle's license number is 910796.

When does Accura HealthCare of Carlisle's license expire?

According to IA state health department records, Accura HealthCare of Carlisle's license expires on January 1, 2027.

What is the occupancy rate at Accura HealthCare of Carlisle?

Accura HealthCare of Carlisle's occupancy is 88%.

Are pets allowed at Accura HealthCare of Carlisle?

No, Accura HealthCare of Carlisle has a no-pet policy.

What is the best email address for Accura HealthCare of Carlisle?

The team at Accura HealthCare of Carlisle can be reached at Kaylyn.fisher@accura.healthcare.

Does Accura HealthCare of Carlisle operate as a for-profit or non-profit?

Accura HealthCare of Carlisle is registered as a for-profit in IA.

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Accura HealthCare of Carlisle

Overview of Accura HealthCare of Carlisle

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Contact Accura HealthCare of Carlisle

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

36 Certified Nursing Assistant

13 Medication Aide/Technician

5 Registered Nurse

9 Licensed Practical Nurse

2 RN Director of Nursing

1 Dietitian

1 Administrator

1 Dental Services Staff

1 Clinical Nurse Specialist

1 Occupational Therapy Aide

1 Speech Language Pathologist

1 Occupational Therapy Assistant

1 Medical Director

2 Nurse Practitioner

5 Physical Therapy Assistant

1 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Accura HealthCare of Carlisle

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