Iowa › Audubon County › Exira
Exira Care Center
411 South Carthage, Exira, IA 50076
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Exira Care Center, in Exira, Iowa, is certified for 60 beds under non-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (11, 3, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $23K.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Audubon Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 16 | 28.7 |
| Citations per 100 beds | 35.0 | 35.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 50.0% | 60.5% | 41.9% | 45.8% |
| Fines listed | $22,880 | $22,880 | $0 | — |
County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 10 Oct 2024.
Severity mix: J ×1 D ×16 E ×2 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 May 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0726 | 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. | D | Complaint investigation | 21 May 2026 |
| 6 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 21 May 2026 |
| 7 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Aug 2025 |
| 7 Aug 2025 | F0690 | 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 | Standard survey | 11 Aug 2025 |
| 7 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Aug 2025 |
| 7 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Aug 2025 |
| 8 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 4 Nov 2024 |
| 8 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 9 Nov 2024 |
| 8 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Nov 2024 |
| 21 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Jan 2024 |
| 13 Jul 2023 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0803 | 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. | E | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 15 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Oct 2024 | Fine | $22,880 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 50.0%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 9.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Exira Care Center Corporation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bcg Holdings Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Bcg LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Creative Planning Hold Co LLC | Adp of the snf | NOT APPLICABLE | 08/01/2024 |
| Ecsi Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Iowa Health Care Association | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Joni Anderson Consulting LLC | Adp of the snf | NOT APPLICABLE | 06/30/2018 |
| Key Rehabilitation Inc | Adp of the snf | NOT APPLICABLE | 06/30/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Audubon County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Friendship Home Association | Audubon | 46 | 4 | 4 | 4 | 11 | 23.9 | $12K | 4 Sep 2025 |
All 2 facilities in Audubon County
Questions and answers
How many deficiencies has Exira Care Center been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Exira Care Center been fined?
Yes. CMS lists fines totalling $23K in the period covered.
How does staffing at Exira Care Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Exira Care Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Exira Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 7 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.