Nursing home
Exira Care Center
411 South Carthage, Exira, IA 50076 · Map
Non profit - Corporation · 60 certified beds
Exira Care Center is a Medicare-certified nursing home in Exira, Iowa. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.60 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Aug 7, 2025 cited 4 deficiencies.
- 1 fine totaling $22,880In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Exira Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.60 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.52 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 37.8% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $22,880, 1 total penalty.
What inspectors found at Exira Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 8, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 8, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 8, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 21, 2023 · Full report (PDF) - Potential for harm
Have enough backup water supply for essential areas of the nursing home.
Environmental Deficiencies · Jul 13, 2023 - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Jul 13, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 13, 2023 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 13, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 411 South Carthage
Exira, IA 50076 - CMS certification #
- 165412
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 43.4
- Provider type
- Medicare and Medicaid
- First certified
- 1999-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Exira Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Audubon County Memorial Hospital, Audubon. 9.4 miles away, straight line.
- Nearest Medicare nursing home
- Friendship Home Association, Audubon. 9.3 miles away, straight line.
- Nearest home health agency office
- Home Sweet Home Care, Atlantic. 14.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 24.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50076 as rural (rural area).
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 50076.
- Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 61.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Exira Care Center a good nursing home?
CMS gives Exira Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Exira Care Center staffed?
Exira Care Center reports 3.60 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Exira Care Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Exira Care Center have?
Exira Care Center is certified for 60 beds.