Senior Home Review
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Nursing homeFAID #4309

Exira Care Center

411 SOUTH CARTHAGE, EXIRA, IA, 50076
(712) 268-5393
60 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
165412
Care type
Nursing home
County
Audubon
Facility name
Exira Care Center
Street address
411 SOUTH CARTHAGE
City / state / ZIP
Exira, IA 50076
Phone
(712) 268-5393

About this facility — Exira Care Center

Exira Care Center is a Medicare/Medicaid-certified skilled nursing facility in Exira, Iowa. It is licensed for 60 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 2 senior care facilities in Exira and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Exira Care Center 27 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $22,880 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Non profit - Corporation

Registered owners & officers

Bcg Holdings Inc
Additional disclosable party — since 2024
Brighton Consulting Group Llc
Additional disclosable party — since 2024
Burns, Marty
Operational control — since 2020
Cattail Bcg Llc
Additional disclosable party — since 2024
Cattail Inc
Additional disclosable party — since 2024
Creative Planning Hold Co Llc
Additional disclosable party — since 2024
Dentlinger, Lori
Operational control — since 2018
Ecsi Inc
Additional disclosable party — since 2024
Godwin, Thomas
Officer — since 2017
Iowa Health Care Association
Additional disclosable party — since 2024
Joni Anderson Consulting Llc
Additional disclosable party — since 2018
Key Rehabilitation Inc
Additional disclosable party — since 2018
Marshall, Tanya
Operational control — since 2024
Nelson, Dale
Director — since 2017
Olsen, Tina
Operational control — since 1994
Paulsen, Julie
Operational control — since 1994
Thompson, Becky
Director — since 2025
Vampola-runyan, Stephanie
Operational control · Additional disclosable party — since 1988

Regulatory standing

Licensed / certified since
1999-04-01
CMS overall rating
2 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$22,880 total
Last standard inspection
2025-08-07
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$377 per day (≈ $11,460/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
49% Medicaid · 6% Medicare · 45% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
10% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-06Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-21
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-05-21
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-21
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-21
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-05-21
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-05-21
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-21
2025-08-07Health inspection4 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-11
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-11
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-11
6 earlier / fire-safety inspections (16 citations)
2024-11-08Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-11-09
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-09
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-04
2023-12-21Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-19
2023-07-13Health inspection6 citations
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-08-15
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-08-15
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-08-15
F-0922
F · No harm found
Have enough backup water supply for essential areas of the nursing home.
Corrected 2023-08-15
2025-08-07Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-08
2024-10-10Fire-safety inspection3 citations
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-15
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-28
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-16
2023-07-13Fire-safety inspection2 citations
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-08-01
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-01

Federal penalties

2024-10-10Fine$22,880
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165412.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered