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C
Below Standard

Accura Healthcare of Carroll

2241 North West Street · Carroll, IA 51401

7127929284 · For profit - Limited Liability company

65 beds47.4 residents74 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 Carroll receives an overall staffing grade of C (Below Standard). With 3.3966 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5753 HPRD, below the recommended 0.75. It is 0.50 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.31% compared to weekdays. The facility has low agency staff usage (0.72% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3966 HPRD — needs 0.08 more hours per resident per day.
⚠️RN staffing (0.5753 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 (0.72%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3966hrs/resident/day▼ 0.50
CMS benchmark: 3.48
RN HPRD
0.5753hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
22.31%
3.6252 weekday → 2.8164 weekend
⚠ Significant weekend reduction
Agency Staff
0.72%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9521hrs/resident/day
Direct care aides
LPN HPRD
0.8097hrs/resident/day
Licensed practical nurses
Consistency
0.4884std 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. Carroll County Average-0.50 HPRD
3.90
03.40 HPRD
vs. Iowa State Average-0.42 HPRD
3.82
03.40 HPRD
vs. National Average-0.50 HPRD
3.90
03.40 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 Carroll ★
Carroll · This facility
—
C
3.39660.5753★☆☆☆☆
Regency Park Nursing & Rehab Center of Carroll
Carroll
2.1 mi
C
3.74820.5255★★★★★
Accura Healthcare of Lake City, LLC
Lake City
13.9 mi
C
3.85370.4983★☆☆☆☆
Thomas Rest Haven
COON RAPIDS
17.8 mi
C
4.54780.5163★★☆☆☆
Park View Rehabilitation Center
Sac City
23.8 mi
C
3.6480.4711★★☆☆☆
Denison Care Center
Denison
24.2 mi
B
3.60890.6915★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
45
Total Deficiencies
$9,750
Fines Assessed
Dec 23, 2025Health
1 deficiency cited
▼
Oct 15, 2025Health
2 deficiencies cited
▼
Jun 24, 2025Health
6 deficiencies cited
▼
Mar 13, 2025Health
14 deficiencies cited· Includes actual harm
▼
Dec 24, 2024Health
1 deficiency cited
▼
May 9, 2024Health
4 deficiencies cited
▼
Mar 14, 2024Health
5 deficiencies cited
▼
Aug 16, 2023Health
6 deficiencies cited
▼
Mar 2, 2023Health
6 deficiencies cited
▼

Penalty History

Mar 13, 2025Payment Denial
Mar 2, 2023Fine
$9,750
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.