Nursing home report
Exira, IA · Medicare-certified · 60 beds
Exira Care Center has a 3-star overall rating, with 3-star health inspection and quality ratings and a 4-star staffing rating. Reported nurse staffing is 3.67 hours per resident per day, below the 4.1 federal benchmark, and the home had $22,880 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.6662 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6662.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure enough backup water supply for essential areas of the home. Cited July 2023 — widespread issue, potential for harm.
F-Tag 922 — 42 CFR §483.90 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2023 — limited pattern, potential for harm.
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2025 — isolated incident, potential for harm.
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to provide enough food and fluids to keep residents healthy. Cited August 2025 — isolated incident, potential for harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $22,880 was recorded.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $22,880 in total fines.
Federal fine
Oct 10, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
