Exira, IA

Exira Care Center

3-star overall rating with 3-star inspections with $22,880 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

411 South Carthage, Exira, IA

(712) 268-5393

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

43

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.52

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.08

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

4.35

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,714

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9868

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0

Baseline 8.11% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.01

Baseline 28.95% · Performance 39.13% · Measure score 6.01 · Achievement 6.01 · Improvement 0

Adjusted total nurse staffing

3.57

Baseline 3.44 hours · Performance 4.09 hours · Measure score 3.57 · Achievement 3.57 · Improvement 2.29

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.28%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 6.83%
Discharge to community	35.32%	50.57% 15.2 pts worse	Worse than the National Rate · Eligible stays 39 · Observed rate 25.64% · Lower 95% interval 26.39%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 26 · Denominator 26
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 26
Discharge self-care score	56.52%	53.69% 2.8 pts better	Numerator 13 · Denominator 23
Discharge mobility score	47.83%	50.94% 3.1 pts worse	Numerator 11 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 26 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.38%	7.12% 1.3 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 4.47%
Staff COVID-19 vaccination coverage	5.71%	8.2% 2.5 pts worse	Numerator 4 · Denominator 70
Staff flu vaccination coverage	31.91%	42% 10.1 pts worse	Numerator 30 · Denominator 94
Discharge function score	56.52%	56.45% 0.1 pts better	Numerator 13 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.5 About the same	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.3	2.1 1.2 pts worse	1.8 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	95.2% 2.3 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	5.6%	3.7% 1.9 pts worse	3.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.7% · Q3 4.5% · Q4 2.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	4.0% 3.4 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	5.5%	4.9% 0.6 pts worse	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.2% · Q3 3.0% · Q4 3.6% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.7%	20.6% 3.9 pts better	19.6% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 18.8% · Q3 11.8% · Q4 12.9% · 4Q avg 16.7%
Percentage of long-stay residents who received an antipsychotic medication	27.1%	19.8% 7.3 pts worse	16.7% 10.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 27.6% · Q3 28.6% · Q4 22.7% · 4Q avg 27.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.5%	18.5% 6 pts better	16.3% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 6.2% · Q3 3.1% · Q4 27.6% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.4%	18.3% 1.1 pts worse	14.9% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 18.8% · Q3 9.1% · Q4 29.0% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	6.9%	1.7% 5.2 pts worse	1.0% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.3% · Q3 11.8% · Q4 4.8% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.8%	2.5% 1.3 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 2.6% · Q3 0.0% · Q4 5.1% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.5%	26.0% 15.5 pts better	19.8% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 5.1% · Q3 2.5% · Q4 21.0% · 4Q avg 10.5%
Percentage of long-stay residents with pressure ulcers	2.3%	4.3% 2 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 6.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	84.3% 11.3 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 95.6%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

7 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-08

F · Potential for more than minimal harm 2024-10-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-15

F · Potential for more than minimal harm 2024-10-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-16

F · Potential for more than minimal harm 2023-07-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-01

E · Potential for more than minimal harm 2023-07-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-11

D · Potential for more than minimal harm 2025-08-07

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-11

D · Potential for more than minimal harm 2025-08-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-11

D · Potential for more than minimal harm 2025-08-07

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-08-11

J · Immediate jeopardy 2024-11-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-11-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-11-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-09

D · Potential for more than minimal harm 2023-12-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-07-13

F922 · Environmental Deficiencies

Health

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

Corrected 2023-08-15

E · Potential for more than minimal harm 2023-07-13

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-07-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-07-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-07-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-15

C · Minimal harm 2023-07-13

F577 · Resident Rights Deficiencies

Health

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

Corrected 2023-08-15

Penalties and ownership

What sits behind the stars

$22,880 2024-10-10

Fine

Fine · fine $22,880

Fine