Senior Care Records.

Exira Care Center

411 South Carthage, Exira, IA, 50076

Nursing home60 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 11 deficiencies against Exira Care Center in Exira, Iowa at its most recent standard inspection on 2025-08-07, 7 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $22,880. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
60certified beds
11deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $22,880
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.19
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies · F0725 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0684 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · F0726 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0690 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm

D

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · F0692 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-11-08 · from a complaint · Immediate jeopardy to resident health or safety

J

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2024-11-08 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0656 · 2024-11-08 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2023-12-21 · from a complaint · No actual harm, potential for more than minimal harm

D

Have enough backup water supply for essential areas of the nursing home.

Environmental Deficiencies · F0922 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm

F

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 · F0803 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0656 · 2023-07-13 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2023-07-13 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.73645
Nursing staff turnoverShare of nursing staff who left in a year50%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$22,880
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Exira Care Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
NELSON, DALEIndividualNOT APPLICABLEsince 10/01/2017
THOMPSON, BECKYIndividualNOT APPLICABLEsince 05/01/2025
GODWIN, THOMASIndividualNOT APPLICABLEsince 10/01/2017
BURNS, MARTYIndividualNOT APPLICABLEsince 09/15/2020
DENTLINGER, LORIIndividualNOT APPLICABLEsince 05/25/2018
MARSHALL, TANYAIndividualNOT APPLICABLEsince 05/29/2024
OLSEN, TINAIndividualNOT APPLICABLEsince 01/31/1994
PAULSEN, JULIEIndividualNOT APPLICABLEsince 10/01/1994
VAMPOLA-RUNYAN, STEPHANIEIndividualNOT APPLICABLEsince 05/05/1988
BCG HOLDINGS INCOrganizationNOT APPLICABLEsince 10/01/2024
BRIGHTON CONSULTING GROUP LLCOrganizationNOT APPLICABLEsince 10/01/2024
CATTAIL BCG LLCOrganizationNOT APPLICABLEsince 10/01/2024
Contact

Ask Exira Care Center a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165412.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction