Accura Healthcare Of Carlisle
Accura Healthcare of Carlisle in Carlisle, IA — inspection on January 29, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 1/26/26 at 1:55 PM, Staff C, Certified Nursing Assistant (CNA), stated Resident #4 reported the morning of 1/22/26 that the guy from last night needs to be fired as he raped me.
Staff F, CNA, who was also present when the comment was made, mentioned to Staff C that Resident #4 made the same type of statement the morning of 1/21/26.
During an interview on 1/27/26 at 8:35 AM, Staff F, CNA confirmed Resident #4 reported the morning of 1/22/6 that they were raped.
Staff F stated Resident #4 said the same thing the morning of 1/21/26 while they assisted completing personal cares on the resident.
Staff F explained they were under the impression another staff member reported it to the nurse working on 1/21/26 but was not sure.
During an interview on 1/27/26 at 935 AM, Staff G, CNA, explained Resident #4 reported the morning of 1/21/26 that the black guy raped me while completing personal cares.
Staff G thought they had notified the Director of Nursing (DON) of the statement on 1/21/26. If they didn't the tell the DON, then they may have told the nurse working that day.
Staff G unable to recall the name of the nurse working.
During an interview on 1/28/26 at 10:00 AM, Staff H, CNA, explained Resident #4 reported to them on morning of 1/21/26 that a black man raped me and the black girl. Resident #4 said this man was the one who comes in and turns the light on.
After completing personal cares, Staff H stated they went to inform Staff I, Registered Nurse, of the statements Resident #4 had made.
Staff I acknowledged and told Staff H they would take care of it.
Staff H's written statement dated 1/22/26, as noted in the facility's incident investigative file, documented on 1/21/26 they were getting Resident #4 ready for breakfast when the resident voiced the dark black man raped me.
The statement further noted Staff H informed Staff I at approximately 8:00 AM of the allegation.
During an interview on 1/28/26 at 2:00 PM, Staff I acknowledged Staff H approached them the morning of 1/21/26 to report Resident #4's rape allegation.
Staff I explained they then called the DON at approximately 7:30-8:00 AM that morning to report.
During an interview on 1/28/26 at 10:20 AM, the DON explained Staff I did not contact them on 1/21/26 regarding Resident #4's rape allegations.
They were first made aware of Resident #4's rape allegation the morning of 1/22/26 by Staff D, Licensed Practical Nurse, via phone.
With any allegations of abuse, the DON stated staff should immediately notify the charge nurse but also themselves and/or the facility administrator to ensure reporting and investigating timeframes are met.
The policy Nursing Facility Abuse Prevention, Identification, Investigation, and Reporting Policy, updated 10/19/22, noted the following: Allegations of resident abuse shall be reported to the Iowa Department of Inspections, Appeals, & Licensing no later than 2 hours after the allegations is made.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
165255 01/29/2026
Accura Healthcare of Carlisle 680 Cole Street Carlisle, IA 50047
During an interview on 1/28/26 at 2:00 PM, Staff I, RN acknowledged Staff H, CNA approached them the morning of 1/21/26 to report Resident #4's rape allegation.
Staff I explained she then called the Director of Nursing (DON) at approximately 7:30 AM that morning to report.
During an interview on 1/28/26 at 10:20 AM, the DON explained Staff I did not contact them on 1/21/26 regarding Resident #4's rape allegations.
They were first made aware of the allegation the morning of 1/22/26.
After reviewing schedules from the previous day, Staff J, CNA, was suspended, per protocol, as they matched the general description Resident #4 provided.
The DON acknowledge Staff J had worked the night shift on 1/21/26.
Staff J was informed of the work suspension on 1/22/26.
The facility's staffing schedules reflected Staff J worked the night shift of 1/20/26 and 1/21/26.
The policy Nursing Facility Abuse Prevention, Identification, Investigation, and Reporting Policy, updated 10/19/22, noted the following: 1.Upon receiving a report of an allegation of resident abuse, neglect, exploitation or mistreatment, the facility shall immediately implement measures to prevent further potential abuse of residents from occurring while the facility investigation is in process. 2.If this involves an allegation of abuse by an employee, this will be accomplished by separating the employee accused of abuse from all residents through the following or a combination of the following, if practicable: a.
Suspending the employee b.
Segregating the employee by moving the employee to an area of the facility where there will be no contact with any residents of the facility; and in rare instances c.
Separating the employee accused of abuse from the resident alleged to have been abused, but allowing the employee to care for and have contact with other residents, only if there is a second employee who remains with and accompanies the employee accused of abuse at all times to supervise all contacts and interactions with the residents.The Incident Investigative Report showed the facility submitted on online report of sexual abuse involving Resident #4 on 1/22/26 at 8:13 AM to the Iowa Department of Inspections, Appeals, and Licensing
165255 01/29/2026
Accura Healthcare of Carlisle 680 Cole Street Carlisle, IA 50047
During an observation of a vacant room [ROOM NUMBER] on 1/27/26 at 9:10 am mice droppings were noted in a corner of the room near the heat register.
During an interview with Staff E, Maintenance Director on 1/27/26 at 10:45 am he reported the facility had an ongoing mice problem and the exterminator had made extra visits to the facility this month. He stated whenever there are sightings of mice they tackle the problem by calling for additional visits from the pest control company. He also added that staff told him they caught live mice a day prior in their work area but he was not in the building at that time. In an interview with Staff A, Housekeeping Aide on 1/27/26 at 11:45 am she revealed the mice problem was so bad that they had to throw away multiple items from the Activity Room storage closets.
Staff were going through Christmas decorations items in the storage closet and while pulling out boxes, they discovered many items were torn and chewed up by mice and they seen a live mouse jumping out of one of the boxes.
Staff A further revealed one of the resident's rooms, a recliner's cushion was pulled out revealed a bunch of mice poop in there and they threw away a few of her soft toys. In an interview with the Administrator on 1/27/26 at 12:05 pm she stated mice droppings were first noted at the beginning of January (2026) and pest control routinely serviced the building monthly but they made additional visits since then.
She provided a facility wide education about proper food storage and to avoid bringing any candy or snack foods that could be attracting mice.
The Administrator confirmed that the recliner that had mice droppings was replaced and they had an exterminator coming to the facility again this week.
During an observation of the Activity Room on 1/28/26 at 9:55 am revealed 3 Residents were present in the room.
Multiple mice droppings were noted around the room near the edges by the entrance door and near a nightstand located in the corner of the room on the right side of the entrance door.
Some droppings were black and some were green.
Behind the nightstand there was a white square box with debris all around it. In an interview with the Administrator on 1/28/26 at 11:00 am she stated the debris behind the nightstand in the Activity Room has been cleaned up and the mice droppings too.
She further revealed a hole in the floorboard of the corner will be patched up.
The facility provided policy titled Pest Control Program dated 12/3/25 documented the facility will maintain an effective pest control program for common household pests and rodents.