Nursing home report
Exira, IA · Medicare-certified · 60 beds
Exira Care Center in Exira, IA has a 2 out of 5 overall rating, with 2-star health inspection and quality ratings but a 4-star staffing rating. Reported nurse staffing is 3.74 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $22,880 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.7365 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7365.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2026 — limited pattern, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: E
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 ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2026 — isolated incident, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
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.
