Exira Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 4 Google reviews
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What this means for your family
Given the conflicting reports, families should conduct an unannounced visit to observe current staffing levels firsthand. Pay close attention to how the administration interacts with residents and staff to address the concerns raised regarding management responsiveness.
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
10
measures
5
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with a long-term catheter
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints prompting inspections, with recent concerns about accident hazards and resident assessments. The facility shows recurring deficiencies in care planning, fire safety systems, and basic safety measures across multiple surveys from 2023-2024. While all identified issues have correction dates, the pattern of repeated problems in resident assessment and safety oversight suggests ongoing operational challenges that families should discuss during visits.
Aug 7, 2025Routine5
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 8, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 10, 2024Routine3
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 21, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 13, 2023Routine6
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Jul 13, 2023Complaint2
Resident Assessment and Care Planning Deficiencies
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal Penalties
Fine
Oct 10, 2024
$22,880
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
May 28, 2026ComplaintClean
Fed violations: 0, State violations: 0
May 6, 2026ComplaintClean
Fed violations: 7, State violations: 0
Aug 28, 2025InspectionClean
Fed violations: 0, State violations: 0
Aug 7, 2025InspectionClean
Fed violations: 4, State violations: 0
Jun 24, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 1, 2025OtherClean
Fed violations: 0, State violations: 0
Nov 9, 2024OtherClean
Fed violations: 0, State violations: 0
Nov 8, 2024OtherClean
Fed violations: 3, State violations: 1
Ownership & Operations
Who Operates This Facility
Exira Care Center
nonprofit
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
4 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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