With a score of 57 out of 100, Exira Care Center earns a C grade — placing it near the middle of Iowa nursing facilities. Families should review the detailed metrics below when considering this Exira location.
Staffing at Exira Care Center is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 14 deficiencies at Exira Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.60 | 3.8 | Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.66 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.52 | 2.4 | Average |
| Weekend Total Nursing | 3.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventAug 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Aug 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Aug 6, 2025 · Pharmacy Service Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 7, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.3% | 4.5% | Better |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 27.1% | 14.5% | Worse |
| Urinary tract infections | 3.8% | 2.5% | Worse |
| ADL decline (daily activities) | 19.4% | 14.0% | Worse |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 10.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $22,880
How This Grade Was Calculated
This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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