All states › Iowa › Carlisle › Accura Healthcare of Carlisle
680 Cole Street Carlisle, IA 50047 · Warren County
CMS certification number 165255 · See this home on Medicare Care Compare
Is Accura Healthcare of Carlisle a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura Healthcare of Carlisle as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.25 hours per resident per day at Accura Healthcare of Carlisle, below the Iowa median of 3.76 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 2.82 hours, 13% below its all-week average. 52% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Accura Healthcare of Carlisle: Medicare and Medicaid
Accura Healthcare of Carlisle is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 21, 2026 and found 10 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 45 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 45 citations at Accura Healthcare of Carlisle across 8 inspection dates, 24 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 31, 2025. The most common areas cited were quality of life and care (12) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 31, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
May 21, 2026 · 13 citations · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ERegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
DNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate pain management for a resident who requires such services.
January 29, 2026 · 3 citations · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
July 31, 2025 · 8 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that residents are free from significant medication errors.
DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DProvide and implement an infection prevention and control program.
April 3, 2025 · 4 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide and implement an infection prevention and control program.
March 3, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 15, 2025 · 4 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
August 28, 2024 · 7 citations · includes complaint inspection
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
May 8, 2024 · 3 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Questions to ask on a tour of Accura Healthcare of Carlisle
- Inspectors cited the home at the actual-harm level on July 31, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 21, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 52% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $37,177 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $37,177 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
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Location
Hospitals near Accura Healthcare of Carlisle
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.7 mi
Iowa Methodist Medical Center Des MoinesEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 2m for patients treated and sent home
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9.8 mi
Mercy Medical Center-Des Moines Des MoinesEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 4h 4m for patients treated and sent home
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11.3 mi
Broadlawns Medical Center Des MoinesEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accura Healthcare of Carlisle › All nursing homes in Carlisle ›
Compare Accura Healthcare of Carlisle with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Village · Indianola · 5 stars · 9.4 mi
- Prairie Vista Village · Altoona · 5 stars · 9.9 mi
- University Park Nursing and Rehabilitation Center · Des Moines · 4 stars · 9.7 mi
- Valley View Village · Des Moines · 3 stars · 9.1 mi
Other Accura Healthcare nursing homes in Iowa
- Accura Healthcare of New Hampton · New Hampton · 5 stars
- Accura Healthcare of Bancroft · Bancroft · 5 stars
- Accura Healthcare of Sioux City · Sioux City · 5 stars
- Accura Healthcare of Milford · Milford · 5 stars
- Accura Healthcare of Stanton · Stanton · 4 stars
- Accura Healthcare of Ogden · Ogden · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.