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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Enjoy your best years at Mj Estates, a blissful haven in Exira, IA, offering assisted living. With 37 specially designed and cozy accommodations, residents are guaranteed the utmost comfort and safety. A compassionate and well-trained team provides top-notch care tailored to their personal needs around the clock.
Residents are encouraged to make new friends and have fun with a jam-packed calendar of engaging activities and enriching programs that highlight their interests and capabilities. Delicious and well-balanced meals are also served to satisfy residents’ dietary needs and preferences. Medication management is also provided to ensure residents will not miss taking their medicines. The community is ideal for those seeking a blissful retirement, especially with its warm and nurturing environment.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 166th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 31m per day | ▼ 25% State avg: 3h 21m per day · National avg: 3h 25m per day |
Lower than the Iowa average: 75.4%MJ Estates is administrated by Brianne Fister.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 15 | This facility has 80% fewer total inspections than a typical Iowa nursing home (3 vs. IA avg 15).↓ 80% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 9, 2024, found no deficiencies during the recertification visit for the Assisted Living Program. Earlier inspections, including those in January 2020 and January 2018, also did not identify any regulatory insufficiencies. There were no complaint investigations reported in any of the available records. Enforcement actions such as fines or license suspensions were not listed in the available reports. This consistent record indicates compliance with certification requirements over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Mar 2025
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.
19 of 45 citations resulted from standard inspections; 19 of 45 resulted from complaint investigations; and 7 of 45 came from combined inspections (standard and complaint).
400% worse than Iowa averageIowa average: 0.6
122% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% worse than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
527 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 0 | 26 | 6,859 | 92 | 100% | 7.6 |
| Registered Nurse | 11 | 2 | 13 | 1,391 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,290 | 88 | 96% | 8.1 |
| Dietitian | 3 | 0 | 3 | 996 | 69 | 75% | 7.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 665 | 69 | 75% | 9.6 |
| Licensed Practical Nurse | 8 | 1 | 9 | 487 | 69 | 75% | 5.2 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 188 | 56 | 61% | 3.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 75 | 34 | 37% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 62 | 36 | 39% | 1.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 58 | 20 | 22% | 2.9 |
| Medical Director | 0 | 1 | 1 | 46 | 45 | 49% | 1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 26 | 15 | 16% | 1.6 |
| RN Director of Nursing | 0 | 1 | 1 | 10 | 1 | 1% | 9.5 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
169% higher than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 31, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 31, 2023Last updated: Jan 2026
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.
9.9
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.4
18% worse than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
14.4%
23% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
25.4%
29% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.4%
39% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.9%
57% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
70% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
8.1%
61% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
4.5%
15% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
35.0%
84% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
5.9%
219% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
3% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
78% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
38Residents 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.
Historical financial and operational data for MJ Estates based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #167 / 242Payroll — State benchmarkedThis home is ranked 167th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Room Sizes: 375 / 425 / 460 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
0.4 miles from city center
Estimated distance in miles from Exira's city center to MJ Estates's address, calculated via Google Maps.
Add your location
MJ Estates is located in Exira, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Valley View Village |
NH 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).
AL 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. | Des Moines (Fairmont Park) | 79 | 100.0% | +33% | 5.52 | +29% | +29% | $18.9k | 19 | 3.2 | 2 | 79 | 38 | Elim Care Inc | $9.7M | $7.0M | 71.8% | 165507 | ||||
| MJ Estates |
NH 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).
AL 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. | Exira | 32 | 62.5% | -17% | 3.86 | +57% | -10% | $187.0k | 45 | 3.8 | 5 | 20 | 20 | - | $5.3M | $2.9M | 54% | 165197 |
MJ Estates is in the Exira neighborhood of Exira.
MJ Estates has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IA state health department records, MJ Estates's license number is S0364.
According to IA state health department records, MJ Estates's license expires on April 13, 2027.
MJ Estates's occupancy is 63%.
The team at MJ Estates can be reached at [email protected].
Brianne Fister is the administrator of MJ Estates.
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