Exira Care Center
411 South Carthage, Exira, IA 50076 · (712) 268-5393
Non profit - Corporation · 60 certified beds
Exira Care Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 4 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $22,880 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 7, 2025 found 4 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 7, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 7, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.August 7, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 7, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 6, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 6, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 6, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 6, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.May 6, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 6, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.November 8, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 8, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 8, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.December 21, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $22,880October 10, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.74 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.67 | 0.56 | 0.86 |
| Nurse aides | 2.42 | 2.52 | 2.32 |
| Total nursing staff turnover | 50% | 44% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 60 |
| Average residents per day | 37.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Friendship Home Association Audubon · ★★★★★ 3 out of 5 stars
- Adel Acres Adel · ★★★★★ 1 out of 5 stars
- Prairie Vista Village Altoona · ★★★★★ 5 out of 5 stars
- Altoona Nursing and Rehabilitation Center Altoona · ★★★★★ 1 out of 5 stars
- Green Hills Health Care Center Ames · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Exira Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.