76/100
Above average
Exira Care Center
411 South Carthage, Exira, IA 50076
- Certified beds
- 60
- Occupancy
- 63%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$22,880 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Exira Care Center
Exira Care Center runs 60 certified beds as a nonprofit, and its staffing sits just under the national average at 3.74 nurse hours per resident day. Weekends dip about 8% below its own weekday coverage, and turnover runs 50% against a national 45.8%, a workforce that's churning faster than average. The inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $22,880. Its most recent inspection was in August 2025, so the picture is current. Quality and inspection measures both land at 2 out of 5 stars, while staffing holds at 4. That gap matters: the hands-on care is there, but the outcomes and compliance history aren't keeping pace.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
24/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.6 total nurse hours per resident per day (national median 3.77)
- →0.65 RN hours per resident per day
- →Weekend staffing drops 8% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →50% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$22,880 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: August 7, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Exira Care Center
What is the ElderGrade for Exira Care Center? +
Exira Care Center holds an ElderGrade of B (76 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Exira Care Center? +
Residents receive an average of 3.74 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Exira Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Exira Care Center accept Medicaid? +
Yes, Exira Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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