Show Inspection Reports
Total Health inspections
6
22% above Iowa average
Iowa average:
4.9
Last Health inspection on Apr 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Fonda Specialty Care
Fonda Specialty Care is a Nursing Home in Iowa
Fonda Specialty Care is a Nursing Home in Iowa
Fonda Specialty Care
Fonda Specialty Care is a Nursing Home in Iowa
Fonda Specialty Care is a Nursing Home in Iowa
Fonda Specialty Care is a skilled nursing and long-term care community located in Fonda, Iowa. It provides compassionate, individualized care for residents while promoting their well-being. The facility is committed to enhancing the quality of life through various programs and services.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
93%
Residents per day (avg)
41
Occupancy rate
93%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
45% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
10 - 11 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$6.9M
Surplus of revenue
$237.9K
Voluntary non-profit home
Other
Home revenue
$6,889,213.00
Surplus of revenue
$237,916.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy Rate
89%
Occupied Beds
41 of 46
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
Additional licensing details
License number:
760518
CMS Certification Number:
165312
Certification type:
FALSE
County:
Pocahontas
Ownership & operating entity
Fonda Specialty Care is administrated by Faith Epperson.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours
24 hours a day, seven days a week
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
24 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:May 6, 2025
40 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Fonda Specialty Care
-32%
-1%
+23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 505400504
46
No
-
93.0%
$6,871,099.00
$1,919,219.00
27.9%
40.80
4.2355
-
28
1
-32%-1%+23%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Fonda Specialty Care
Type of care:
SNF
AL
Community:
IA 505400504
Bed Count:
46
Pets Allowed:
No
CCN:
165312
Occupancy:
93.0%
Home Revenue:
$6,871,099.00
Payroll Costs:
$1,919,219.00
Payroll %:
27.9%
Avg Residents/Day:
40.80
Overall Rating:
Adj Nurse Hours:
4.2355
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
28
Severe Citations:
1
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
+23%
+23%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Fonda Specialty Care
Fonda, IA 505400504
Fonda, IA 505400504
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
63
Total Staff
52
Employees
11
Contractors
13,292
Total Hours (Quarter)
20
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 9.5 | No |
| Licensed Practical Nurse | 4 | 8 | No |
| Certified Nursing Assistant | 29 | 7.2 | No |
Staff by Category
Administration ⓘ
2 staff
8.3hs shift avg
Nursing Staff ⓘ
46 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.3hs shift avg
Therapy Services ⓘ
8 staff
1.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.2hs shift avg
Dietary Services ⓘ
2 staff
6.9hs shift avg
Other Services ⓘ
1 staff
7.6hs shift avg
Contractor Analysis
1.6%
of total hours from contractors
207 contractor hours this quarter
Speech Language Pathologist: 1
Respiratory Therapy Technician: 1
Physical Therapy Aide: 2
Physical Therapy Assistant: 4
Qualified Social Worker: 2
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 29 | 0 | 29 | 6,493 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,740 | 91 | 100% | 8 |
| Registered Nurse | 5 | 0 | 5 | 1,372 | 89 | 98% | 9.5 |
| Licensed Practical Nurse | 4 | 0 | 4 | 887 | 68 | 75% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 546 | 60 | 66% | 9.1 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 60 | 66% | 7.6 |
| Dietitian | 1 | 0 | 1 | 401 | 60 | 66% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 396 | 53 | 58% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 279 | 39 | 43% | 7.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 65 | 45 | 49% | 1.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 47 | 27 | 30% | 1.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 46 | 6 | 7% | 7.7 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Physical Therapy Aide | 0 | 2 | 2 | 35 | 41 | 45% | 0.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 15 | 3 | 3% | 4.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 13 | 12 | 13% | 1.1 |
| Qualified Social Worker | 0 | 2 | 2 | 4 | 3 | 3% | 1.2 |
Health Inspection History
Total Health citations
28
29% above Iowa average
Iowa average:
21.7
4.67 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
22 citations
Complaint investigations
7 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
1
11% above Iowa average
Iowa average:
0.9
Moderate Health citations
27
Minor Health citations
0
Citations history (last 3 years)
Pharmacy moderate citation
Apr 18, 2024
Corrected
Care Planning moderate citation
Apr 18, 2024
Corrected
Quality of Care moderate citation
Dec 21, 2023
Corrected
Resident Rights moderate citation
Dec 21, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Care Initiatives
Resident Census by Payment Source
41
Total Residents
Medicaid
31
(75.6%)
ⓘ
Private Pay/Other
10
(24.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
7.5
27% better than Iowa average
Iowa average:
10.2
Functional decline score
15.6
28% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
12.0%
36% below Iowa average.
Walking Ability Worsened
14.7%
25% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.2%
23% below Iowa average.
Safety & clinical stability
Falls with Major Injury
2.6%
29% below Iowa average.
High Risk Residents with Pressure Ulcers
4.6%
6% above Iowa average.
Urinary Tract Infection
0.0%
100% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
4.9%
26% above Iowa average.
Antipsychotic Use
36.9%
94% above Iowa average.
Preventive care
Pneumococcal Vaccine
95.5%
1% above Iowa average.
Influenza Vaccine
86.4%
9% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
3.7%
25% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
95.9%
13% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average Financial Trends
Historical financial and operational data for Fonda Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
93.0%
↑ 3.0pp vs 2022
Net Income
$237,916
↑ ~$130K vs 2022
Total Payroll
$2,253,036
↑ ~$117K vs 2022
Profit Margin
3.5%
↑ 0.9pp vs 2022
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