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Nursing HomeMedicaid Top Rated

Fonda Specialty Care

Strong Medicare quality ratings; families often praise dedicated and kind staff members. Still worth an in-person visit.

607 Queen Street, Fonda, IA 5054046 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 9 Google reviews

5
4
3
2
1
Fonda Specialty Care Nursing Home in Fonda, IA — Street View
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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 details
FoodN/AStaff5.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms1.0Value1.0

Strengths

  • 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

2345.02021(2)5.02022(3)2.02023(3)1.02025(1)4.02026(2)

Distribution · 11 analyzed

5
6
4
1
3
1
2
0
1
3

How They Respond to Reviews

22%response rate

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.

Long-term resident's family · 2025☆☆☆☆

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

Long-term resident's family · 2025☆☆☆☆

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.

General visitor · 2023☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.19hrs
78%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.4%
Worse than Avg
Here
35.4%
US
19.5%
IA
20.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
15.5%
IA
19.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
IA
4.1%

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

↓ Lower is better
This Facility16.6%
Better than Avg
Here
16.6%
US
19.4%
IA
25.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility86.4%
Worse than Avg
Here
86.4%
US
95.5%
IA
95.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
14.4%
IA
17.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
IA
84.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (6.2)
6 complaint-triggered
Clean record — no deficiencies

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, 2026Routine
4
0222Potential for harm · WidespreadCorrected

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.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 27, 2025Routine
9
0351Potential for harm · Widespread

Smoke Deficiencies

Install an approved automatic sprinkler system.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0222Potential for harm · WidespreadCorrected

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0922Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

Apr 18, 2024Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0755Potential for harm · IsolatedCorrected

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, 2023Complaint
2
0580Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 20, 2023Routine
11
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0584Potential for harm · PatternCorrected

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0622Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

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

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

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, 2023Complaint
1
0690Potential for harm · IsolatedCorrected

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

10total
9deficiencies
Mar 19, 2026Inspection
Clean

Fed violations: 0, State violations: 0

May 6, 2025Other
Clean

Fed violations: 0, State violations: 0

Mar 21, 2025Other
Clean

Fed violations: 5, State violations: 0

Feb 27, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 18, 2024Complaint
Clean

Fed violations: 0, State violations: 0

May 8, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Apr 18, 2024Complaint
Clean

Fed violations: 2, State violations: 0

Jan 4, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fonda Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 8 of 43

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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