GoodStanding

Nursing home report

Fonda Specialty Care

Fonda, IA · Medicare-certified · 46 beds

In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall

5 out of 5 stars overall. Fonda Specialty Care has strong staffing and quality ratings and no fines in the last 24 months, though reported nurse staffing is below the federal benchmark (3.33 vs. 4.1 hours per resident per day) and the health inspection rating is 4 out of 5 stars.

Facility ratings

Health inspections

Staffing

3.327 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.327.

Staffing detail

Registered nurses
0.56
Licensed practical nurses
0.34
Nurse aides
2.42
Weekend nursing
2.79

Hours per resident per day.

Total staff turnover: 23%
Registered nurse turnover: 20%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

24.6%

Residents with a fall causing major injury

2.4%0%Improving

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.7%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

13.5%9.1%Improving

Residents whose ability to walk got worse

8.8%20.9%Worsening

Long-stay residents on antianxiety or sleep medication

35.1%38.2%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14.5%24%Worsening

Residents with depressive symptoms

2.7%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

86.4%

Long-stay residents given the pneumonia vaccine

92.7%97.5%Improving

Short-stay residents given the pneumonia vaccine

93.8%

What the inspectors found

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited November 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The nursing home failed to provide services that met professional standards of quality. Cited April 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3 stars avg
Occupancy
41 residents on an average day (89% of 46 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

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.