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C
Below Standard

Accura Healthcare of Carlisle

680 Cole Street · Carlisle, IA 50047

5159890871 · For profit - Limited Liability company

80 beds72.6 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accura Healthcare of Carlisle receives an overall staffing grade of C (Below Standard). With 3.3124 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5835 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.65% compared to weekdays. The facility has low agency staff usage (4.21% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3124 HPRD — needs 0.17 more hours per resident per day.
⚠️RN staffing (0.5835 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.21%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3124hrs/resident/day▼ 0.58
CMS benchmark: 3.48
RN HPRD
0.5835hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
16.65%
3.4759 weekday → 2.8971 weekend
Agency Staff
4.21%
6.13% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1521hrs/resident/day
Direct care aides
LPN HPRD
0.4824hrs/resident/day
Licensed practical nurses
Consistency
0.4128std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Warren County Average-0.30 HPRD
3.61
03.31 HPRD
vs. Iowa State Average-0.50 HPRD
3.82
03.31 HPRD
vs. National Average-0.58 HPRD
3.90
03.31 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accura Healthcare of Carlisle ★
Carlisle · This facility
—
C
3.31240.5835★☆☆☆☆
Parkridge Specialty Care
Pleasant Hill
7.2 mi
C
3.20610.5752★☆☆☆☆
Greater Southside Health and Rehabilitation
Des Moines
7.3 mi
D
3.30620.2626★☆☆☆☆
Accura Healthcare of South Des Moines
DES MOINES
8.3 mi
B
3.95250.5752★☆☆☆☆
The Village
INDIANOLA
9.4 mi
A
4.16830.7786★★★★☆
Rehabilitation Center of Des Moines
DES MOINES
9.6 mi
B
3.91360.5729★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
42
Total Deficiencies
$46,488
Fines Assessed
Jul 31, 2025Health
8 deficiencies cited· Includes actual harm
▼
Apr 3, 2025Health
4 deficiencies cited
▼
Mar 3, 2025Health
3 deficiencies cited· Includes actual harm
▼
Jan 15, 2025Health
4 deficiencies cited
▼
Aug 28, 2024Health
7 deficiencies cited
▼
May 8, 2024Health
3 deficiencies cited
▼
Aug 10, 2023Health
1 deficiency cited
▼
Jun 15, 2023Health
10 deficiencies cited· Includes actual harm
▼
Mar 29, 2023Health
2 deficiencies cited
▼

Penalty History

Jul 31, 2025Fine
$37,177
Jun 15, 2023Fine
$9,311
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.