Fonda, IA

Fonda Specialty Care

4-star overall rating with 4-star inspections with 9 fire-safety deficiencies in the latest cycle

607 Queen Street, Fonda, IA

(712) 288-4441

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

42

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Care Initiatives

Operator or chain grouping

Approved since

1996-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing

LPN hours / resident day

0.35

Licensed practical nurse staffing

Aide hours / resident day

2.29

Nurse aide staffing

Weekend hours

2.67

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.3%
94.0%
0.3 pts better
93.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.4%
95.2%
8.8 pts worse
95.5%
9.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
3.7%
1.8 pts better
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.4%
4.0%
0.6 pts better
11.4%
8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.1%
4.9%
2.8 pts better
5.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.0%
20.6%
17.4 pts worse
19.6%
18.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 35.6%
19.8%
15.8 pts worse
16.7%
18.9 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 13.1%
18.5%
5.4 pts better
16.3%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.6%
18.3%
9.7 pts better
14.9%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.7%
1.1 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.2%
26.0%
8.8 pts better
19.8%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.3%
4.3%
1 pts better
5.1%
1.8 pts better
Long Stay · 2024Q4-2025Q3
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

0 health deficiencies

No concentrated health issue counts in this cycle.

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2023-11-20 · Fire 2023-11-20

11 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-10-24 · Fire 2022-10-24

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-02-27

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-26

F · Potential for more than minimal harm 2025-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-02-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-28

F · Potential for more than minimal harm 2025-02-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-02-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-02-27

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2025-02-25

F · Potential for more than minimal harm 2023-11-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-11-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-29

F · Potential for more than minimal harm 2022-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-11-03

E · Potential for more than minimal harm 2022-10-24

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-11-24

E · Potential for more than minimal harm 2022-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-03

E · Potential for more than minimal harm 2022-10-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-24

E · Potential for more than minimal harm 2022-10-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-04-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-07

D · Potential for more than minimal harm 2024-04-18

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 2024-05-07

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

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-04

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-04

E · Potential for more than minimal harm 2023-11-20

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

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 2023-12-15

D · Potential for more than minimal harm 2023-11-20

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 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

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 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-08-08

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 2023-08-09

G · Actual harm 2023-03-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-21

E · Potential for more than minimal harm 2022-10-24

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-11-17

E · Potential for more than minimal harm 2022-10-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-11-17

E · Potential for more than minimal harm 2022-10-24

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-17

E · Potential for more than minimal harm 2022-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

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 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

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 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-10-24

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-11-17

Penalties and ownership

What sits behind the stars

Ownership

Care Initiatives

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 2011-09-01
Beal, Michael

Corporate Director · Individual

0% 43 facilities 2020-06-01
Beal, Michael

Corporate Officer · Individual

0% 43 facilities 2020-06-01
Boeve, Destiny

Operational/Managerial Control · Individual

0% 16 facilities 2024-01-01
Bowen, Lane

Corporate Director · Individual

0% 44 facilities 2021-01-01
Carothers, Mary Jane

Corporate Director · Individual

0% 43 facilities 2023-01-01
Childs, Kevin

Corporate Director · Individual

0% 43 facilities 2023-04-01
Computershare Corporate Trust

5% Or Greater Mortgage Interest · Organization

0% 41 facilities 2025-01-01
Corless, Peter

Corporate Director · Individual

0% 40 facilities 2025-01-01
Dixon, David

Corporate Officer · Individual

0% 44 facilities 2016-06-01
Drake, Emily

Corporate Officer · Individual

0% 43 facilities 2023-01-04
Dugdale, Emily

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-06
Epperson, Faith

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-13
Gilyard, Tanya

Corporate Officer · Individual

0% 40 facilities 2025-05-23
Krein, Keith

Corporate Director · Individual

0% 43 facilities 2022-06-29
Kuhn, Jeramy

Corporate Officer · Individual

0% 43 facilities 2008-06-25
Mcdyer, Jessica

Corporate Officer · Individual

0% 43 facilities 2023-02-22
Rust, Elizabeth

Corporate Director · Individual

0% 43 facilities 2023-01-01
Sturm, Denise

Corporate Director · Individual

0% 43 facilities 2021-01-01
Upmeyer, Linda

Corporate Director · Individual

0% 43 facilities 2022-06-29
Volm, Johanna

Corporate Officer · Individual

0% 27 facilities 2021-01-01
Whyms, Brian

Operational/Managerial Control · Individual

0% 11 facilities 2024-01-01

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