Accura HealthCare of Carlisle
Nursing Home · Iowa, IA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Accura HealthCare of Carlisle

Nursing Home · Iowa, IA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Accura HealthCare of Carlisle accepts Medicare, Medicaid, and private pay.

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2020 · 6 years of data 62 deficiencies 31 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, 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 4 Worse Metrics worse than Iowa average:
• Total deficiencies (130% above)
• Deficiencies per year (129% above)
• Deficiencies per inspection (11% above)
• Total inspections (107% above)
0 Better No metrics in this bucket.
Latest Inspection September 10, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility IA Average vs. IA Avg
Total deficiencies Info 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 year Info Average deficiencies per year since 2020. 10.3 4.5 This facility has 129% more deficiencies per year than a typical Iowa nursing home (10.3 vs. IA avg 4.5).↑ 129% worse
Deficiencies per inspection Info 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 Info State inspections evaluate whether the facility meets health and safety standards.

This Facility IA Average vs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 31 15 This facility has 107% more total inspections than a typical Iowa nursing home (31 vs. IA avg 15).↑ 107% worse

Inspection Reports Summary Info 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 to be in substantial compliance with no deficiencies noted. Prior inspections showed multiple deficiencies related to resident care, including issues with assessments, care planning, infection control, medication administration, and accident prevention. Several complaint investigations were substantiated over time, involving concerns such as failure to treat residents with dignity, inadequate supervision, and improper handling of medications and infection control. Enforcement actions such as immediate jeopardy findings related to fire safety and resident harm were noted in earlier reports, but no fines or license suspensions were listed in the available reports. The facility appears to have made improvements recently, as the latest revisit confirmed correction of prior deficiencies and substantial compliance.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 3

Iowa average 4.9


Last Health inspection on May 2025

Total health citations
17 Rank #134 / 241Health citations — State benchmarkedThis home is ranked 134th out of 241 homes in Iowa. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 241 IA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 21.7

Citations per inspection
5.67 Rank #192 / 241Citations per inspection — State benchmarkedThis home is ranked 192nd out of 241 homes in Iowa. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 241 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa 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
0
100% better than Iowa average

Iowa average: 0.6


Serious health citations
2
122% worse than Iowa average

Iowa average: 0.9

0 critical citations Iowa average: 0.6

2 serious citations Iowa average: 0.9

15 moderate citations Iowa average: 19.7

0 minor citations Iowa 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 83
Employees 71
Contractors 12
Staff to resident ratio 2.13:1
0% compared with Iowa average
Iowa average ratio: 2.05:1 Iowa average ratio: 2.05:1See full Iowa ranking
Avg staff/day 29
Average shift 7 hours
5% worse than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 18,775

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.5%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

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

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
11% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.3
10% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Below average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.3%
In line with Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.6%
11% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.1%
19% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
83% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.9%
80% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.6%
5% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.1%
42% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.1%
6% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.6%
13% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.40
5% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.76
16% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 39
Medicare
1
2.6% of residents
Medicaid
20
51.3% of residents
Private pay or other
18
46.2% of residents

Finances and operations

Privately-owned community
Home revenue
$4.1M
Operating loss
-$331.7K
Privately-owned community
Home revenue
$4.1M Rank #201 / 242Revenue — State benchmarkedThis home is ranked 201st out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$331.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #162 / 242Payroll — State benchmarkedThis home is ranked 162nd out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.9M
70.9% of revenue Rank #15 / 242Payroll % — State benchmarkedThis home is ranked 15th out of 242 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa SNFs typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
Total costs $4.4M

Who this home usually serves

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.

Places of interest near Accura HealthCare of Carlisle

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

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Financial Assistance for
Nursing Home in Iowa

Accura HealthCare of Carlisle is located in Carlisle, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Compare Nursing Home around Iowa

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

5 facilities compared · CMS & IA Dept. of Health data

Filter by care type
Oaknoll Retirement Residence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Iowa City (Roosevelt) 70 81.4% +8% 6.02 +8% +40% $0 7 3.5 - 54 - 33 Stephen Roe $31.2M $12.7M 40.7% 165030
Cedar Ridge Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

West Des Moines (Heritage Bend) 40 95.0% +26% 5.14 +11% +20% $0 20 5.0 - 36 A+ 5 Central Iowa Hospital Corporation $8.5M $4.3M 50.6% 165790
Accura HealthCare of Carlisle
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carlisle 80 87.5% +16% 5.85 -49% +36% $0 17 5.7 2 70 - 50 American Healthcare Associates Inc $4.1M $2.9M 70.9% 165311
Rotary Senior Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Eagle Grove 40 27.5% -64% 3.73 +45% -13% $56.1k 22 4.4 2 11 - 24 James Christ $5.6M $3.6M 64% 165500
Ramsey Village Continuing Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Des Moines (Drake) 78 85.8% +14% 4.04 -46% -6% $0 31 4.4 1 61 - 38 Claremont House Inc. $12.4M $8.5M 68.5% 165514

Frequently Asked Questions about Accura HealthCare of Carlisle

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%.

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

The team at Accura HealthCare of Carlisle can be reached at [email protected].

Who is the administrator of Accura HealthCare of Carlisle?

Kaylyn Fisher is the administrator of Accura HealthCare of Carlisle.

How many beds does Accura HealthCare of Carlisle have?

Accura HealthCare of Carlisle has 80 beds.

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