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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Occupancy is moderate, suggesting balanced demand.
Most residents typically stay for a few weeks or months before returning home or moving on.
47% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Iowa average
Fonda Specialty Care is administrated by Faith Epperson.
Key information about the people who lead and staff this community.
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.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
The most recent inspection on March 21, 2025, cited deficiencies related to professional standards of care, fall prevention, medication and respiratory supply storage, and the facility’s water management plan for Legionella risks. Earlier inspections showed a pattern of issues with medication administration, care planning, infection control, and communication, with several substantiated complaints over time. Prior reports noted deficiencies in medication management, resident supervision, infection prevention, and documentation, including some related to respiratory care and emergency communication. Complaint investigations were mostly substantiated when deficiencies were found, including a notable case involving inadequate respiratory suctioning that contributed to a resident’s death. The facility’s inspection history shows ongoing challenges with clinical care and safety practices, with recent findings continuing some previously identified themes.
Iowa average 4.9
Last Health inspection on Apr 2024
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 28 citations resulted from standard inspections; 6 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).
0
100% better than Iowa average
Iowa average: 0.6
1
11% worse than Iowa average
Iowa average: 0.9
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 18, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 18, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 21, 2023
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 21, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Fonda, IA 505400504
Fonda, IA 505400504
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
23% worse than Iowa average
Iowa average ratio: 2.00:1
0% compared with Iowa average
Iowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
No contractors work on this role.
Total hours from contractors
207 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
27% better than Iowa average
Iowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
28% better than Iowa average
Iowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
36% better than Iowa average
Iowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
14.7%
25% better than Iowa average
Iowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
23% better than Iowa average
Iowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
29% better than Iowa average
Iowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
6% worse than Iowa average
Iowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa average
Iowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.7%
25% better than Iowa average
Iowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
4.9%
26% worse than Iowa average
Iowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
36.9%
94% worse than Iowa average
Iowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
In line with Iowa average
Iowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
9% worse than Iowa average
Iowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.9%
13% better than Iowa average
Iowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa average
Iowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Fonda Specialty Care based on CMS SNF Cost Reports.
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