nursing home in Exira, IA
Exira Care Center
411 South Carthage, Exira, IA 50076 · (712) 268-5393
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Exira Care Center at a glance
Exira Care Center is a 60-bed non-profit nursing home in Exira, Iowa (Audubon County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (August 7, 2025) found 11 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $22,880.
Nursing staff turnover is 50% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1999
- Resident/family council
- None
- County
- Audubon County
- CMS Certification Number
- 165412
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.74 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.42 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.42 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 50% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 44 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,880 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 65 | 107 | |
| Average residents per day | 38 | 52 | 86 | |
| Occupancy | 62.8% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.3% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.6% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 9.7% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.7% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.8% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.3% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.7% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.5% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 6, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 6, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 21, 2026 |
| August 7, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 8, 2025 |
| August 7, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 11, 2025 |
| August 7, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 11, 2025 |
| August 7, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 11, 2025 |
| August 7, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 11, 2025 |
| November 8, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 4, 2024 |
| November 8, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 9, 2024 |
| November 8, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 9, 2024 |
| October 10, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected October 15, 2024 |
| October 10, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected October 28, 2024 |
| October 10, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 16, 2024 |
| December 21, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 19, 2024 |
| July 13, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 1, 2023 |
| July 13, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected August 1, 2023 |
| July 13, 2023 Standard | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Tag F0922 | F Potential harm, widespread | Corrected August 15, 2023 |
| July 13, 2023 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected August 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $22,880 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 10, 2024 | Fine | $22,880 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BCG HOLDINGS INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| BRIGHTON CONSULTING GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CATTAIL BCG LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CATTAIL INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CREATIVE PLANNING HOLD CO LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| ECSI INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| IOWA HEALTH CARE ASSOCIATION Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| JONI ANDERSON CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 06/30/2018 |
| KEY REHABILITATION INC Organization | adp of the snf | NOT APPLICABLE | 06/30/2018 |
| VAMPOLA-RUNYAN, STEPHANIE Individual | adp of the snf | NOT APPLICABLE | 09/15/2025 |
| NELSON, DALE Individual | corporate director | NOT APPLICABLE | 10/01/2017 |
| THOMPSON, BECKY Individual | corporate director | NOT APPLICABLE | 05/01/2025 |
| GODWIN, THOMAS Individual | corporate officer | NOT APPLICABLE | 10/01/2017 |
| BURNS, MARTY Individual | operational/managerial control | NOT APPLICABLE | 09/15/2020 |
| DENTLINGER, LORI Individual | operational/managerial control | NOT APPLICABLE | 05/25/2018 |
| MARSHALL, TANYA Individual | operational/managerial control | NOT APPLICABLE | 05/29/2024 |
| OLSEN, TINA Individual | operational/managerial control | NOT APPLICABLE | 01/31/1994 |
| PAULSEN, JULIE Individual | operational/managerial control | NOT APPLICABLE | 10/01/1994 |
| VAMPOLA-RUNYAN, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 05/05/1988 |
Other nursing homes near Exira Care Center
- ★★★★★3Average
Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · 9.4 mi
For-profit · 64 beds · Part of Good Samaritan Society
★★★★★1Much below averageCaring Acres Nursing and Rehab Center
1000 Hillcrest Drive, Anita, IA 50020 · 11.9 mi
For-profit · 41 beds
★★★★★1Much below averageHeritage House
1200 Brookridge Circle, Atlantic, IA 50022 · 14.4 mi
Non-profit · 61 beds · Part of Wesleylife
- CMS high performer
★★★★★5Much above averageAtlantic Specialty Care
1300 East 19th Street, Atlantic, IA 50022 · 14.8 mi
Non-profit · 90 beds · Part of Care Initiatives
★★★★★3AverageThe New Homestead Care Center
2306 State Street, Guthrie Center, IA 50115 · 21.4 mi
Non-profit · 58 beds
★★★★★3Average
Frequently asked questions
What is Exira Care Center's rating?
Exira Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Exira Care Center receive?
Its most recent standard health inspection found 11 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Exira Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Exira Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Exira Care Center and how do I contact it?
Exira Care Center is at 411 South Carthage, Exira, IA 50076. Phone: (712) 268-5393.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.