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Accura Healthcare: Inadequate Response to Allegations - IA

Healthcare Facility:

Inspectors found mouse droppings in four out of six drawers in one resident's dresser on January 27. The drawers contained socks, jeans and personal items. In a vacant room, more droppings appeared near a heat register.

Accura Healthcare of Carlisle facility inspection

The rodent problem extended far beyond resident rooms. Licensed Practical Nurse Staff D told inspectors mice ate her snack from her personal locker in the staff break room about a week before the inspection.

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In the Activity Room, where three residents were present during inspection, mouse droppings scattered around the entrance door and near a corner nightstand. Some droppings were black, others green. Behind the nightstand, debris surrounded a white box.

Staff A, a housekeeping aide, described the scope of contamination. Workers had to throw away multiple items from Activity Room storage closets after discovering Christmas decorations torn and chewed by mice. A live mouse jumped out of one storage box.

"They seen a live mouse jumping out of one of the boxes," Staff A told inspectors.

In one resident's room, staff discovered mouse droppings inside a recliner cushion and threw away several soft toys.

Maintenance Director Staff E confirmed the facility faced an "ongoing mice problem." The exterminator made extra visits throughout January, and staff caught live mice in their work area the day before his interview.

Administrator interviews revealed the facility first noted droppings in early January 2026. While pest control normally serviced the building monthly, additional visits became necessary. The facility provided staff education about proper food storage and avoiding candy or snacks that could attract rodents.

The contaminated recliner was replaced, and the administrator promised to patch a hole in the Activity Room floorboard.

Despite having a pest control policy dated December 3, 2025, the facility failed to maintain an effective program to keep the building free from rodent infestation.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Accura Healthcare of Carlisle from 2026-01-29 including all violations, facility responses, and corrective action plans.

Additional Resources

🏥 Editorial Standards & Professional Oversight

Data Source: This report is based on official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial Process: Content generated using AI (Claude) to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Medical Perspective: As emergency medical professionals, we understand how nursing home violations can escalate to health emergencies requiring ambulance transport. This analysis contextualizes regulatory findings within real-world patient safety implications.

Last verified: May 6, 2026 | Learn more about our methodology

📋 Quick Answer

Accura Healthcare of Carlisle in Carlisle, IA was cited for violations during a health inspection on January 29, 2026.

Inspectors found mouse droppings in four out of six drawers in one resident's dresser on January 27.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Accura Healthcare of Carlisle?
Inspectors found mouse droppings in four out of six drawers in one resident's dresser on January 27.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Carlisle, IA, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Accura Healthcare of Carlisle or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 165255.
Has this facility had violations before?
To check Accura Healthcare of Carlisle's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.