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Complaint Investigation

Accura Healthcare Of Carroll

October 15, 2025 · Carroll, IA · 2241 North West Street
Citations 2
CMS Rating 1/5
Beds 65
Provider ID 165455
Healthcare Facility
Accura Healthcare Of Carroll
Carroll, IA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

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:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Carroll, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura Healthcare of Carroll or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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