Fonda Specialty Care in Fonda, IA has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 3.19 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and had $0 in fines over the last 24 months.
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 3.1935.
Staffing detail
Registered nurses
0.52
Licensed practical nurses
0.26
Nurse aides
2.41
Weekend nursing
2.84
Hours per resident per day.
Total staff turnover: 35%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—27.7%—
Residents with a fall causing major injury
0%2.5%Worsening
Residents with pressure ulcers (bedsores)
6.4%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.4%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.9%11.8%Improving
Residents whose ability to walk got worse
14.2%8.4%Improving
Long-stay residents on antianxiety or sleep medication
39.5%32.4%Improving
Residents with a long-term catheter
2.2%0%Improving
Residents with new or worsening incontinence
18.6%18.9%No change
Residents with depressive symptoms
5.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—86.4%—
Long-stay residents given the pneumonia vaccine
95.2%97.5%Improving
Short-stay residents given the pneumonia vaccine
—94.3%—
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.
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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.
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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.
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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.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
41.1 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.