Exira Care Center

411 South Carthage, Exira, IA 50076 · CCN 165412 · 60 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Get the full report Watch this facility

Serious inspection findings

2024-11-08 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.54

state median 3.10

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.52

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Exira Care Center.

Penalties and enforcement

1 enforcement action(s), totaling $22,880 in fines.

Date	Type	Amount
2024-10-10	Fine	$22,880

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 19 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-05-06	F0550	Resident Rights Deficiencies	D	not recorded
2026-05-06	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-05-06	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-05-06	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-05-06	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2026-05-06	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2026-05-06	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-08-07	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-08-07	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-08-07	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-08-07	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-11-08	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-08	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-11-08	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-12-21	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-13	F0577	Resident Rights Deficiencies	C	not recorded
2023-07-13	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-13	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-13	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-13	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-13	F0922	Environmental Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Exira Care Center, Exira” at medicare.gov/care-compare.