Exira Care Center
411 South Carthage, Exira, IA 50076
Exira, Iowa · CMS verdict
Exira Care Center holds a 3 of 5 CMS overall star rating - in line with the Iowa state average of 3.1, reflecting average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Exira Care Center in Exira, Iowa holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 61 of 100 (grade D). The 60-bed facility operates where a semi-private nursing-home room in Iowa runs a median of $9,277 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 60 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.
How the 61 is built
Each segment is a dimension's weighted points toward the score, summing to 61.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Exira Care Center's thinner certified-bed book
Quality ratings
Exira Care Center holds a CMS overall quality rating of 3 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (3/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Exira, Iowa, this facility operates 60 certified beds with an average daily census of roughly 43 residents - an occupancy rate of about 72%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 72% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Iowa, Exira Care Center is one of 128 non profit - corporation nursing homes CMS rates. Its 3-star overall rating sits below the non profit - corporation-segment average of 3.3 stars, ahead of roughly 27% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (14 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Exira Care Center compares to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where Exira Care Center ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, Exira Care Center’s 3-star overall rating is higher than 37% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
74 Iowa homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 60 |
| Residents | 43 |
| Ownership | Non profit - Corporation |
| County | Audubon |
| Penalties | 1 |
| Deficiencies | 14 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Exira Care Center? ▾
3 out of 5 stars is Exira Care Center's current CMS overall rating, built from a health inspection rating of 3/5, a staffing rating of 4/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in Iowa? ▾
In Iowa, a semi-private nursing home room runs a median $9,277/month ($111,325/year) per the CareScout 2025 survey; private rooms average $10,038/month.
What services does Exira Care Center offer? ▾
With 60 beds with approximately 43 current residents, Exira Care Center is a skilled nursing facility. It operates under non profit - corporation ownership, and CMS's inspection record shows 14 deficiencies and 1 penalties.
Does Exira Care Center have any deficiencies or penalties? ▾
Exira Care Center has multiple deficiencies (14 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Keep reading
Also see the Iowa elder-care overview and highest-rated states. Provider ID: 165412.
Read our methodology - how this data is sourced, computed, and verified.