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Nursing home

Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care)

680 Cole Street, Carlisle, IA 50047 · Map
For profit - Limited Liability company · Part of Accura Healthcare (37 facilities) · 80 certified beds

Medicare and Medicaid certified
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Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Carlisle, Iowa. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jul 31, 2025 cited 18 deficiencies.

1 out of 5Overall CMS rating
1 out of 5Health inspections
3 out of 5Staffing
80 bedsCertified beds
  • 2 fines totaling $46,488In CMS records: 2 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing3/5
Quality measures2/5
Long-stay quality2/5
Short-stay qualityNo data

How Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) compares

This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityIowa avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.313.833.89below avg
RN staffing (hrs/resident/day)0.580.730.68below avg
Aide staffing (hrs/resident/day)2.242.532.34below avg
Nursing staff turnover48.0%43.9%46.4%above avg
Deficiencies cited, last inspection18.06.29.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.31Total nurse hrs/resident/day
0.58RN hrs/resident/day
0.48LPN hrs/resident/day
2.24Aide hrs/resident/day
2.89Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff48.0%
Registered nurses58.3%
Administrator changes3 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jul 31, 2025Most recent inspection
18Deficiencies found
112Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $46,488, 2 total penalties.

What inspectors found at Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care)

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · Jan 29, 2026 · Full report (PDF)
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 29, 2026 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 29, 2026 · Full report (PDF)
  • Actual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Administration Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · Jul 31, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
680 Cole Street
Carlisle, IA 50047
CMS certification #
165255
Ownership
For profit - Limited Liability company
Certified beds
80
Avg residents/day
72.6
Provider type
Medicare and Medicaid
First certified
1995-06-01
Chain
Accura Healthcare (37 facilities)
Setting
Urban

Part of Accura Healthcare

Accura Healthcare operates 37 nursing facilities across the United States. View all Accura Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) using Google Maps.

Other public records

  • Staff pay 2 federal wage cases with violations found, since 2005
  • Workplace safety 1 OSHA workplace safety inspection since 2020, 4 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

Federal wage and hour cases

The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.

  • Findings for Oct 25, 2018 to Oct 24, 2020. Violations found: Overtime, Child labor. Back wages: $10,907 owed to 49 employees. Civil money penalties assessed: $3,415. Employer as DOL recorded it: Carlisle Center For Wellness and Rehab (Pacifica Health Services, LLC). Case 1922963.
  • Findings for May 7, 2005 to Apr 28, 2007. Violations found: Overtime, Child labor. Back wages: $14,212 owed to 53 employees. Civil money penalties assessed: $12,403. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Carlisle Care Center (Pacifica Health Services, LLC). Case 1458847.

Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Nov 23, 2020: complaint inspection, partial (health). Case closed Apr 20, 2021. 4 violations cited (3 serious, 1 other). Penalties: $16,006 proposed, $8,003 now. OSHA record. OSHA recorded the employer as Pacific Health Services, LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Serious: Personal protective equipment (general) (1910.132(d)(1)). Penalty $7,578 proposed, $3,789 now. To be fixed by Apr 19, 2021.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(a)(2)). Penalty $7,578 proposed, $3,789 now. To be fixed by Apr 19, 2021.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $0 proposed, $0 now. To be fixed by Apr 19, 2021.
    • Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(1)). Penalty $850 proposed, $425 now. To be fixed by Apr 19, 2021.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Unitypoint Health - Des Moines Iowa Methodist Medi, Des Moines. 9.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Parkridge Specialty Care, Pleasant Hill. 7.3 miles away, straight line.
Nearest home health agency office
Optimae Home Health Services, Central Iowa, Des Moines. 8.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 50047 as metropolitan (metropolitan high commuting).
Dialysis within 15 miles
Fmc - Dialysis Services Des Moines South, Des Moines, 7.1 miles away, straight line (CMS rating 2 of 5 stars)
Davita Riverpoint Dialysis Unit, Des Moines, 8.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita East Des Moines Dialysis, Des Moines, 9.4 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
10 Medicare hospices tell CMS they serve ZIP code 50047.
Mercyone Des Moines Hospice, office in Des Moines, 8.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Everystep, office in Des Moines, 8.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Croix Hospice, office in Ankeny, 15.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Lucas County Health Center, Chariton. 33.7 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) a good nursing home?

CMS gives Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) staffed?

Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) reports 3.31 total nurse hours per resident per day, compared with the Iowa average of 3.83.

Has Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) had inspection problems?

Its most recent CMS inspection cited 18 deficiencies.

How many beds does Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) have?

Accura Healthcare of Carlisle (Skilled Nursing and Continuing Care) is certified for 80 beds.