Federal inspection record · CMS data as of October 1, 2026
Exira Care Center
411 South Carthage, Exira, IA · (712) 268-5393
- Certified beds
- 60
- Residents per day
- 35
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1999
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Exira Care Center carries 44 inspection points. That is fewer than 40% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
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.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental1F
- F
Have enough backup water supply for essential areas of the nursing home.
Inspection history
2025-08-07
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-10-10
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-07-13
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 13 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,880 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-10 | Fine | $22,880 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 2.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.1 pts worse | 4.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse | 92.8% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 2.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts better | 15.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.2 pts better | 13.6% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.7 pts worse | 26.9% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse | 26.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder6.9 pts worse | 8.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 3.5% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.1 pts better | 11.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 90.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.7 pts worse | 26.7% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 19.4% | 20.7% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Burns, Marty | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Creative Planning Hold Co LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Dentlinger, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Godwin, Thomas | Corporate Officer · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Joni Anderson Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Key Rehabilitation Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Marshall, Tanya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelson, Dale | Corporate Director · Individual | 0% | 1 facilities |
| Olsen, Tina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Paulsen, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thompson, Becky | Corporate Director · Individual | 0% | 1 facilities |
| Vampola-Runyan, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vampola-Runyan, Stephanie | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Friendship Home Association
Audubon, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 55 min
- Fines
- $7,342
-
Salem Lutheran Home
Elk Horn, IA · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 55 min
- Fines
- $15,260
-
Caring Acres Nursing and Rehab Center
Anita, IA · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 8 min
- Fines
- $51,773