Exira Care Center: Staffing, Turnover, and Inspection Record
Exira Care Center is a 60-bed nonprofit nursing home in Exira, Iowa. In the CMS August 2026 release it reported 2.42 nurse aide hours per resident per day, 3% below the Iowa average of 2.51, and 50.0% nursing staff turnover (Iowa average 44.0%).
Exira Care Center
411 South CarthageExira, IA 50076
Audubon County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Exira Care Center, nurse aides logged 2.42 hours per resident per day, 3% below the Iowa average. With about 38 residents a day, that works out to roughly 91 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.42 | 2.51 | 2.32 |
| Licensed practical nurses | 0.67 | 0.56 | 0.86 |
| Registered nurses | 0.65 | 0.74 | 0.69 |
| All nursing staff | 3.74 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.42 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.0% of nursing staff at Exira Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 57.1%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $22,880 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 10, 2024 | Fine | $22,880 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Exira Care Center holds 2 of 5 overall; the Iowa average is 3.1.
About Exira Care Center
- Ownership: Non profit - Corporation
- Legal name: Exira Care Center Corporation
- Medicare and Medicaid certified since: Apr 1, 1999
- Area: rural
Nursing homes near Exira Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Friendship Home Association Audubon | 9.3 | 46 | 2.66 | 3.92 | 60.5% | 4 | $11,536 |
| Salem Lutheran Home Elk Horn | 9.4 | 64 | 2.58 | 3.86 | 63.0% | 1 | None |
| Caring Acres Nursing and Rehab Center Anita · SFF candidate | 11.9 | 41 | 2.07 | 3.60 | 73.3% | 1 | $51,773 |
| Heritage House Atlantic | 14.4 | 61 | 2.60 | 3.96 | 33.3% | 5 | None |
| Atlantic Specialty Care Atlantic | 14.8 | 90 | 2.17 | 2.96 | 28.3% | 3 | None |
| The New Homestead Care Center Guthrie Center | 21.4 | 58 | 2.58 | 3.47 | 56.3% | 3 | None |
| Thomas Rest Haven Coon Rapids | 22.3 | 57 | 3.25 | 4.71 | 46.5% | 2 | $11,190 |
| Elm Crest Retirement Community Harlan | 23.5 | 50 | 2.69 | 3.99 | 71.7% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.