Accura Healthcare Of Carroll
Accura Healthcare of Carroll in Carroll, IA — inspection on October 15, 2025.
Found 2 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
Review of a facility provided document titled, Comprehensive Care Plans dated April 2025 documented:a.
The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Accura Healthcare of Carroll
2241 North West Street Carroll, IA 51401
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition.
The MDS further revealed diagnoses of heart failure, renal insufficiency, diabetes mellitus, hyperlipidemia, and morbid obesity.
Interview 10/14/25 at 10:30 AM with Resident #1 revealed that call lights take longer than 15 minutes often, especially on the evenings and weekends. 2.
Review of Resident #2's MDS dated [DATE] revealed a BIMS score of 15 indicating intact cognition.
The MDS further revealed diagnoses of diabetes mellitus, hyperlipidemia, anxiety disorder, respiratory failure, post polio syndrome, and morbid obesity.
Interview 10/14/25 at 2:05 PM with Resident #5 revealed call lights take over 15 minutes in the mornings, and the weekends often. 3.
Review of Resident #4's MDS dated [DATE] revealed a BIMS score of 14 indicating intact cognition.
The MDS further revealed diagnoses of hyperlipidemia, arthritis, hip fracture, osteoporosis, and need for assistance with personal care.
Interview 10/14/25 at 1:49 PM with Resident #4 revealed call lights often take over 15 minutes, and it always feels like the facility is short staffed. 4.
Review of Resident #5's MDS dated [DATE] revealed a BIMS score of 12 indicating moderate cognitive impairment.
The MDS further revealed diagnosis of cirrhosis, diabetes mellitus, anxiety disorder, and bipolar disorder.
Interview 10/14/25 at 1:55 PM with Resident #5 revealed that he feels that there is not enough staff on the pm shift or on the weekends, and call lights can take longer than 15 minutes at a time.Interview 10/15/25 at 8:20 AM with the Director of Nursing (DON) revealed that call lights are an issue, and the facility is working on getting them better.
The DON provided the call light log with response times up to 39 minutes.
The DON then revealed that her expectation is for call lights to be answered in 15 minutes or less.Review of a facility provided document titled, Building Escalation Hourly Summary Report, dated 10/9/25 through 10/15/25 revealed call light response times ranging from 16 minutes in length to 39 minutes on multiple occasions.
Follow up interview 10/15/25 at 9:40 AM with the DON revealed that the facility does not have a call light policy, and that the facility just follows the standards of care.
Facility ID: