What is Fonda Specialty Care's Medicare star rating?

CMS rates Fonda Specialty Care 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Fonda Specialty Care get at its last inspection?

0 health deficiencies at the standard inspection on March 19, 2026. The Iowa average is 6.5.

Has Fonda Specialty Care been fined?

CMS lists no fines in the last three years.

Does Fonda Specialty Care accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Fonda Specialty Care?

CMS lists 26 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.

Fonda Specialty Care: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 13 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.33 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

23.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Care Initiatives, an affiliated group of 43 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

911/23

212/23

204/24

002/25

003/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

March 19, 2026Standard inspection · 0 citations

February 27, 2025Standard inspection · 0 citations

April 18, 2024Complaint inspection · 2 citations

D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024

Inspectors wroteBased on record review, facility policy review, and staff interview, the facility failed to ensure residents received medications per the physicians orders for 1 of 3 residents (Resident #1). The facility reported a census of 42 residents.
D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024

Inspectors wroteBased on record review, staff and resident interview the facility failed to provide pharmaceutical services to meet the needs of 1 of 3 residents reviewed (Resident #1). The facility reported a census of 42 residents.

December 21, 2023Complaint inspection · 2 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2024

Inspectors wroteBased on record review, staff interview and policy review, the facility failed to notify the physician and the family of a change in condition for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 43 residents.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2024

Inspectors wroteBased on record review and staff interview, the facility failed to provide adequate assessment and timely intervention when a resident had a change in mental status and pain level for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 43 residents.

November 20, 2023Standard inspection, Complaint inspection · 9 citations

E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on observations and interviews the facility failed to maintain a home-like environment with the facility repeatedly having a strong offensive urine odor throughout the facility. The facility reported a census of 43 residents.
D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to communicate necessary information to the receiving facility when a resident was transferred to the hospital emergently due to change in condition for 1 out of 2 residents (Resident #44) reviewed for hospitalizations. The facility reported a census of 43 residents.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on clinical record review, staff interviews and policy review the facility failed to accurately complete an MDS (Minimum Data Set) assessment reflective of the resident status for 2 out of 12 residents (Resident #12 and #23). The facility reported a census of 43 residents.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on clinical record review and staff interview, the facility failed to complete a baseline care plan that included the minimum healthcare information necessary to properly care for the immediate needs of a resident with a foley catheter (indwelling catheter to empty urine from the bladder) for one of three residents reviewed, (Resident #45). The facility reported a census of 43 residents.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to develop a care plan to address risk factors and interventions related to risk for skin impairment and pressure ulcers for 1 out of 12 residents (Resident #12) reviewed for comprehensive care plans. The facility reported a census of 43 residents.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on observation, record review, resident interview and policy review the facility failed to update the resident's care plan after a resident attempted to leave the facility for 1 of 12 residents reviewed (Resident #22). The facility reported a census of 43 residents.
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on observation and staff interview, the facility failed to meet professional standards of quality by not having a physician's order for a resident admitted with a foley catheter (indwelling catheter to empty the bladder of urine) for one of twelve residents reviewed, (Resident #45). The facility reported a census of 43 residents.
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on observation, staff interview, and policy review the facility failed to provide appropriate incontinence care for one of two residents reviewed, (Resident #27). The facility reported a census of 43 residents.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023

Inspectors wroteBased on observations, record review, policy review, and staff interview the facility failed to complete proper hand hygiene during cares for two of two residents reviewed (Resident #27, #34) and to maintain standard precaution for infection control. The facility reported a census of 43 residents.

Fire safety inspections

16 fire safety citations on file: 4 on March 19, 2026, 9 on February 27, 2025, 3 on November 20, 2023.

Every fire safety citation16 citations

F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · March 19, 2026 · Corrected (the home has a date of correction)
F
Install an approved automatic sprinkler system.

K 351 · March 19, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 19, 2026 · Corrected (the home has a date of correction)
F
Have proper medical gas storage and administration areas.

K 923 · March 19, 2026 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · February 27, 2025 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · February 27, 2025 · Corrected (the home has a date of correction)
F
Install an approved automatic sprinkler system.

K 351 · February 27, 2025 · Waiver
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 27, 2025 · Corrected (the home has a date of correction)
F
Install corridor and hallway doors that block smoke.

K 363 · February 27, 2025 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 27, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 27, 2025 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · February 27, 2025 · Corrected (the home has a date of correction)
E
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · February 27, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · November 20, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · November 20, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · November 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Iowa	United States
All nursing staff (RN, LPN and aides)	3.33	3.82	3.86
Registered nurses	0.56	0.74	0.69
All nursing staff on weekends	2.79	3.37	3.42
Nurse aides	2.42
Licensed practical nurses	0.34
Nursing staff turnover (share who left in a year)	23.1%	44.0%	45.8%
Registered nurse turnover	20.0%	42.1%	42.9%
Administrators who left	0

CMS expects 2.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.55 on weekdays and 2.79 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 3.33 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.33	0.56	3.55	2.79	0.0%	0 of 90	41
Oct to Dec 2025	3.19	0.52	3.33	2.84	0.0%	0 of 92	41
Jul to Sep 2025	3.07	0.42	3.22	2.67	0.0%	0 of 92	42
Apr to Jun 2025	3.10	0.48	3.30	2.59	0.0%	0 of 91	41
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Iowa, Jan to Mar 2026	3.80	0.71	3.98	3.36	4.7%	0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Iowa	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	8.6	17.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.9	3.8	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.6	16.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.0	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	24.6	19.4	15.4

Owners and operators

Legal business name: CARE INITIATIVES. CMS links this home to Care Initiatives, a group of 43 nursing homes averaging 2.9 stars overall.

Name	Role	Type	Share	Since
Care Initiatives	5% or greater direct ownership interest	Organization	100%	09/01/2011
Computershare Corporate Trust Company, Na	5% or greater mortgage interest	Organization		01/01/2025
Beal, Michael	Corporate director	Individual		06/01/2020
Bowen, Lane	Corporate director	Individual		01/01/2021
Carothers, Mary Jane	Corporate director	Individual		01/01/2023
Childs, Kevin	Corporate director	Individual		04/01/2023
Corless, Peter	Corporate director	Individual		01/01/2025
Krein, Keith	Corporate director	Individual		06/29/2022
Rust, Elizabeth	Corporate director	Individual		01/01/2023
Sturm, Denise	Corporate director	Individual		01/01/2021
Upmeyer, Linda	Corporate director	Individual		06/29/2022
Beal, Michael	Corporate officer	Individual		06/01/2020
Dixon, David	Corporate officer	Individual		06/01/2016
Drake, Emily	Corporate officer	Individual		01/04/2023
Gilyard, Tanya	Corporate officer	Individual		05/23/2025
Kuhn, Jeramy	Corporate officer	Individual		06/25/2008
McDyer, Jessica	Corporate officer	Individual		02/22/2023
Volm, Johanna	Corporate officer	Individual		01/01/2021
Boeve, Destiny	Operational/managerial control	Individual		01/01/2024
Dugdale, Emily	Operational/managerial control	Individual		04/06/2024
Epperson, Faith	Operational/managerial control	Individual		01/13/2025
Whyms, Brian	Operational/managerial control	Individual		01/01/2024
Computershare Corporate Trust Company, Na	Adp of the SNF	Organization		08/08/2025
Dugdale, Emily	Adp of the SNF	Individual		08/08/2025
Epperson, Faith	Adp of the SNF	Individual		08/08/2025
Whyms, Brian	Adp of the SNF	Individual		08/08/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 18, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 21, 2023: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 21, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 18, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

Accura Healthcare of Pomeroy, LLC
Pomeroy, 8.7 mi · 3 of 5 stars · 19 citations
Park View Rehabilitation Center
Sac City, 13.2 mi · 1 of 5 stars · 24 citations
Good Samaritan - Manson
Manson, 16.1 mi · 4 of 5 stars · 11 citations
Laurens Care Center
Laurens, 17.8 mi · 4 of 5 stars · 15 citations
Methodist Manor Retirement Community
Storm Lake, 19.4 mi · 4 of 5 stars · 21 citations
Accura Healthcare of Lake City, LLC
Lake City, 22.5 mi · 2 of 5 stars · 40 citations
Twilight Acres
Wall Lake, 25 mi · 5 of 5 stars · 7 citations

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.

Common questions

What is Fonda Specialty Care's Medicare star rating?: CMS rates Fonda Specialty Care 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fonda Specialty Care get at its last inspection?: 0 health deficiencies at the standard inspection on March 19, 2026. The Iowa average is 6.5.
Has Fonda Specialty Care been fined?: CMS lists no fines in the last three years.
Does Fonda Specialty Care accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Fonda Specialty Care?: CMS lists 26 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.