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Exira Care Center

Exira, IA · Medicare and Medicaid-certified nursing home (CCN 165412) · 60 certified beds

CMS overall rating: 2★ (state average 3.07★ — below state average)
Health inspection: 2 · Quality measures: 2 · Staffing: 4
Federal fines: 1 totaling $22,880
Phone: (712) 268-5393 · Verify on Medicare Care Compare ↗

Exira Care Center has an overall CMS rating of 2 out of 5 stars, which is below the Iowa state average of 3.07 stars. Its health inspection rating is also 2 stars, while its staffing rating is higher at 4 stars.

Exira Care Center reports total nurse staffing of about 3.74 hours per resident per day, including 0.65 RN hours per resident per day, and carries a CMS staffing rating of 4 out of 5 stars. Nursing staff turnover is reported at 50.0%.

CMS records show Exira Care Center has 1 federal fine on record totaling $22,880.00, with 0 payment denials. No abuse icon or Special Focus status is indicated in the available CMS data for this facility.

Overall rating vs. benchmarks
Exira Care Center Exira Care Center: 2★ 2★ IA average IA average: 3.07★ 3.07★

About this facility

Exira Care Center is a non-profit, corporation-owned nursing home in Exira, Iowa (Audubon County), certified for Medicare and Medicaid since April 1999. The facility is licensed for 60 certified beds and reports an average daily census of 37.7 residents.

According to CMS Care Compare, Exira Care Center holds an overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. The facility's component ratings are: health inspection rating of 2, quality measure (QM) rating of 2, and staffing rating of 4. Families should note that the overall and health inspection ratings fall below state norms even though staffing is comparatively stronger.

Staffing data show total nurse hours per resident per day of 3.74, with 0.65 RN hours per resident per day. Nursing staff turnover is reported at 50.0%, a figure families may wish to weigh alongside the 4-star staffing rating.

On penalties, CMS records show 1 federal fine totaling $22,880.00 for this facility. There have been 0 payment denials on record. No abuse icon or Special Focus status is indicated in the data provided for this facility. There is no record of a chain affiliation, and CMS data indicates no change of ownership within the past 12 months, so current ratings reflect the operator currently in place.

Source: CMS Medicare Care Compare. Data as provided in the most recent CMS dataset supplied.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Exira Care Center has an overall rating of 2 out of 5 stars, below the Iowa state average of 3.07 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, Exira Care Center is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 3.74 hours per resident per day, including 0.65 RN hours per resident per day, with a staffing rating of 4 out of 5 stars; nursing turnover is reported at 50.0%.

Does this facility have federal fines or penalties on record?

Yes, CMS records 1 fine totaling $22,880.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No abuse icon or Special Focus designation is present in the provided CMS data for this facility.

How large is this facility and how many residents live there?

Exira Care Center is certified for 60 beds and has an average daily census of 37.7 residents.

Who owns this facility — and is it part of a chain?

The facility is owned by a non-profit corporation; no chain affiliation is indicated in the data.

How long has this facility been Medicare/Medicaid certified?

The facility has been certified since April 1, 1999.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, staffing, and quality measure (QM) dimensions; Exira Care Center scores 2, 2, 4, and 2 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

This detail is not included in the CMS data provided; please contact the facility at 7122685393 or verify on Medicare Care Compare.

What should I look for when touring this facility?

This information isn't part of the CMS dataset provided; contact the facility at 7122685393 to arrange a tour and ask about specific concerns.

How do I verify this facility's current record on Medicare Care Compare?

You can check the most current details at https://www.medicare.gov/care-compare/details/nursing-home/165412?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.