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HomeIowaExira Care Center

Exira Care Center

411 South Carthage, Exira, IA 500767122685393Google Maps
3.7on Google(3 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
2/5
Beds
60
certified
1 fine(s) totaling $22,880

How Exira Care Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
4/5
IA average
3.6/5
Above state average
Nursing hours per resident
3.74 hrs/day
IA average
3.81 hrs/day
Close to state average
RN hours per resident
0.65 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
50.0%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported RN time is 0.65 hours per resident per day, below the state average of 0.74.
Staff turnover is 50.0%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
6
deficiency citations
Inspected Oct 10, 2024
Most recent cycle
11
deficiency citations
Inspected Aug 7, 2025
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Audubon County 65+
1,397
24.7% of county
County Population
5,651
Audubon County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Exira Care Center is a 2-star Medicare and Medicaid certified nursing home in Exira, Iowa with 60 certified beds. It has been operating since 1999. Its overall CMS rating is 2 out of 5.

Beds
60
Avg Residents/Day
37.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 1, 1999
Sprinklers
Yes
Council
None
County
Audubon
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
11
Weighted Score
46.0
Infection Citations
0

Deficiency Citations (21)

F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: May 6, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 6, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 6, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 6, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 6, 2026Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: May 6, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 6, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 21, 2023Corrected: NoCycle: 3
F0922Potential for Harm

Have enough backup water supply for essential areas of the nursing home.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0803Potential for Harm

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.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Jul 13, 2023Corrected: NoCycle: 3
Total Fines
$22,880
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 10, 2024
$22,880

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.42 hrs
National avg: 2.32 hrs
LPN0.67 hrs
National avg: 0.86 hrs
RN0.65 hrs
National avg: 0.69 hrs
Total Nursing3.74 hrs
National avg: 3.86 hrs
Weekend Total3.42 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
57.1%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (19)

NameRoleTypeOwnership %Since
NELSON, DALECORPORATE DIRECTORIndividualN/AOct 1, 2017
THOMPSON, BECKYCORPORATE DIRECTORIndividualN/AMay 1, 2025
GODWIN, THOMASCORPORATE OFFICERIndividualN/AOct 1, 2017
BURNS, MARTYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 15, 2020
DENTLINGER, LORIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 25, 2018
MARSHALL, TANYAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 29, 2024
OLSEN, TINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 31, 1994
PAULSEN, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 1994
VAMPOLA-RUNYAN, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 5, 1988
BCG HOLDINGS INCADP OF THE SNFOrganizationN/AOct 1, 2024
BRIGHTON CONSULTING GROUP LLCADP OF THE SNFOrganizationN/AOct 1, 2024
CATTAIL BCG LLCADP OF THE SNFOrganizationN/AOct 1, 2024
CATTAIL INCADP OF THE SNFOrganizationN/AOct 1, 2024
CREATIVE PLANNING HOLD CO LLCADP OF THE SNFOrganizationN/AAug 1, 2024
ECSI INCADP OF THE SNFOrganizationN/AOct 1, 2024
IOWA HEALTH CARE ASSOCIATIONADP OF THE SNFOrganizationN/AOct 1, 2024
JONI ANDERSON CONSULTING LLCADP OF THE SNFOrganizationN/AJun 30, 2018
KEY REHABILITATION INCADP OF THE SNFOrganizationN/AJun 30, 2018
VAMPOLA-RUNYAN, STEPHANIEADP OF THE SNFIndividualN/ASep 15, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Exira Care Center and nearby alternatives.

All Iowa facilities
Exira Care Center
Exira, IACurrent facility
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $22,880
Friendship Home Association
Audubon, IA9.3 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: $30,227
Salem Lutheran Home
Elk Horn, IA9.4 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Caring Acres Nursing and Rehab Center
Anita, IA11.9 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $73,488
Heritage House
Atlantic, IA14.4 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Atlantic Specialty Care
Atlantic, IA14.8 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
The New Homestead Care Center
Guthrie Center, IA21.4 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Exira Care Center
Exira, IA · Current facility
—2/52/54/5$22,880
Friendship Home Association
Audubon, IA
9.3 mi4/54/54/5$30,227
Salem Lutheran Home
Elk Horn, IA
9.4 mi1/51/54/5None recorded
Caring Acres Nursing and Rehab Center
Anita, IA
11.9 mi1/51/54/5$73,488
Heritage House
Atlantic, IA
14.4 mi5/54/55/5None recorded
Atlantic Specialty Care
Atlantic, IA
14.8 mi3/52/53/5None recorded
The New Homestead Care Center
Guthrie Center, IA
21.4 mi2/52/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Exira Care Center?▾
Exira Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Exira Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Exira Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Exira Care Center had any health inspection violations?▾
Exira Care Center had 11 deficiency citations in its most recent health inspection (Aug 7, 2025). The current CMS dataset records 1 fine(s) totaling $22,880.
What are the staffing levels at Exira Care Center?▾
Exira Care Center provides 3.74 total nursing staff hours per resident per day, including 0.65 RN hours, 0.67 LPN hours, and 2.42 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does Exira Care Center have?▾
Exira Care Center has 60 certified beds with an average of 37.7 residents per day, resulting in approximately 63% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Exira Care Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Exira Care Center?▾
On Google Maps, Exira Care Center has a rating of 3.7 out of 5 based on 3 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.