Fonda Specialty Care
Strong Medicare quality ratings; families often praise dedicated and kind staff members. Still worth an in-person visit.
based on 9 Google reviews

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What this means for your family
While older reviews praise the staff, the most recent feedback is deeply concerning regarding hygiene and medical oversight. We strongly advise families to conduct unannounced visits and ask detailed questions about their protocol for reporting falls and managing infections before considering this facility.
Google Reviews
Google Reviews
9 reviews on Google“Fonda Specialty Care receives highly polarized feedback, with some praising the staff as dedicated while others report severe neglect. Recent reviews highlight alarming concerns regarding hygiene, failure to report resident falls, and delayed medical intervention for serious conditions like sepsis.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and kind staff members
- Appreciative long-term family feedback
- Strong leadership mentioned in older reviews
Concerns
- Poor hygiene and lack of basic resident care
- Failure to notify family of falls and injuries
- Delayed medical response to urgent health issues
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1With 9 state violations over the past year, what specific steps is the leadership team taking to improve facility-wide cleanliness and hygiene protocols?
- 2Could you walk me through your standard communication process for notifying families immediately following a resident's fall or unexpected injury?
- 3Given the concerns regarding timely medical responses, how does your nursing staff prioritize and escalate urgent health issues for residents?
- 4I noticed that your team occasionally responds to online feedback; how do you use that family input to improve the daily quality of life and care for your 46 residents?
- 5What does a typical daily activity schedule look like for residents to ensure they remain engaged and socially active?
- 6How do you ensure consistent oversight and accuracy in medication management, especially during shift changes?
Personalized based on this facility's data
Key Review Excerpts
“My father-in-law moved moved there late 2023 for a year before passing. We visited 2-3 times a month, he was not clean. Poop on his jeans, crusted food on his shirt. The next day he was wearing the same clothes and NO they had not been washed.”
“Multiple falls, no notification to our family. Not a good surprise to show up and find him in pain and bruised. It took 4 days of requests to get a specimen when he had UTI, he was septic due to a lack of c”
“Has bed bugs and the management doesn’t care about staff, or that the residents needs are met yet they claim to have “quality care “ The cooperation only care about money.”
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 · 15 measures
12
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to 7 deficiencies, with recurring issues in care planning, medication management, and fire safety systems. The facility shows persistent problems with resident assessments and care plans across multiple surveys from 2022-2024, though all deficiencies have correction dates. Recent complaints involved respiratory care, pharmacy services, and failure to notify families of resident incidents.
Mar 19, 2026Routine4
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Feb 27, 2025Routine9
Smoke Deficiencies
Install an approved automatic sprinkler system.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Apr 18, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 21, 2023Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nov 20, 2023Routine11
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Nov 20, 2023Complaint1
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.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Mar 19, 2026InspectionClean
Fed violations: 0, State violations: 0
May 6, 2025OtherClean
Fed violations: 0, State violations: 0
Mar 21, 2025OtherClean
Fed violations: 5, State violations: 0
Feb 27, 2025InspectionClean
Fed violations: 0, State violations: 0
Jul 18, 2024ComplaintClean
Fed violations: 0, State violations: 0
May 8, 2024ComplaintClean
Fed violations: 0, State violations: 0
Apr 18, 2024ComplaintClean
Fed violations: 2, State violations: 0
Jan 4, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Fonda Specialty Care
nonprofit
Chain Affiliation
Care Initiatives
43 facilities nationwide
Chain avg rating: 3.0/5 · Rank 8 of 43
Ownership & Management
Owners
Care Initiatives
Owner · Organization
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
9 reviews from families & visitors
Official Website
Visit careinitiatives.org
Medicare data downloads
Original nursing home datasets
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