Exira Care Center

411 South Carthage · Exira, IA · 50076 · 7122685393

60 certified beds Non profit - Corporation

  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 72
Serious harm & abuse 20% 94
Staffing 20% 69
Federal penalties 15% 71
Trend 10% 82
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.673.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day3.25≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)1 · $22,880

Inspection citations (14 in the current record)

  • Potential for harm · D August 7, 2025

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

    Corrected August 11, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    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 August 11, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

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

    Corrected August 11, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

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

    Corrected August 11, 2025 · Pharmacy Service

  • Immediate jeopardy · J November 8, 2024 · found via complaint

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

    Corrected November 4, 2024 · Quality of Life and Care

  • Potential for harm · D November 8, 2024 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected November 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 8, 2024 · found via complaint

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

    Corrected November 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 21, 2023 · found via complaint

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

    Corrected January 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 13, 2023

    Ensure each resident receives an accurate assessment.

    Corrected August 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 13, 2023

    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 August 15, 2023 · Nutrition and Dietary

  • Potential for harm · F July 13, 2023

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

    Corrected August 15, 2023 · Environmental

  • Potential for harm · D July 13, 2023 · found via complaint

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

    Corrected August 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 13, 2023 · found via complaint

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

    Corrected August 15, 2023 · Resident Assessment and Care Planning

  • No harm found · C July 13, 2023

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

    Corrected August 15, 2023 · Resident Rights

Federal penalties

DateTypeAmount / length
October 10, 2024Fine$22,880

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165412 · certified since April 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.