PlainNursing
CMS Nursing Home Compare · August 2026

Fonda Specialty Care

607 Queen Street, Fonda, IA 50540

Fonda Specialty Care, a 46-bed non profit - corporation nursing facility in Fonda, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #6 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7122884441

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5 / 5
Much above average · CMS overall · nat'l 3.0
#6 of 385
In-state rank among rated IA homes
3.33
Below average · nurse hrs/day · nat'l 3.86
14
Inspection findings

The verdict

Fonda Specialty Care, a 46-bed non profit - corporation nursing facility in Fonda, IA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #6 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall · national 3.0
#6 of 385
In-state rank among rated IA homes
3.33
Nurse hrs/resident-day · national 3.86
14
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
165312
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
46
Residents
41
In Hospital
No
County
Pocahontas
Last Inspection
Mar 19, 2026

Staffing Data

How the 3.33 total nursing hours per resident-day are staffed:

RN Hours
0.56 (nat'l avg: 0.69)
LPN Hours
0.34
CNA Hours
2.42
Total Nursing Hours
3.33 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
23.1%
RN Turnover
20.0%

What the CMS Record Reveals About Fonda Specialty Care

According to CMS Nursing Home Compare, Fonda Specialty Care ranks #6 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Fonda Specialty Care operates 46 certified beds in Fonda, IA with approximately 41 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 5★).

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.33 total nursing hours (national average 3.86) and 0.56 RN hours.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Fonda Specialty Care falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 23.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: May 7, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 7, 2024

D - Isolated - Minimal harm Dec 21, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 4, 2024

D - Isolated - Minimal harm Dec 21, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jan 4, 2024

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 20, 2023 Tag: 0622

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.

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 20, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Aug 8, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 35.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Fonda Specialty Care, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Fonda Specialty Care

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 46 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Fonda Specialty Care?
Fonda Specialty Care has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
Where does Fonda Specialty Care rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Fonda Specialty Care ranks 6th among 385 rated nursing homes in IA (#6 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Fonda Specialty Care?
Fonda Specialty Care reports 3.33 total nursing hours per resident day (national average: 3.86). RN hours are 0.56 per resident day (national average: 0.69). Nursing staff turnover is 23.1%.
How many beds does Fonda Specialty Care have?
Fonda Specialty Care has 46 certified beds with approximately 41 residents. The facility is located at 607 Queen Street, Fonda, IA 50540.
Does Fonda Specialty Care have any deficiencies on record?
Yes, Fonda Specialty Care has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Fonda Specialty Care received any fines or penalties?
No, Fonda Specialty Care has no fines or penalties on record.
Who owns Fonda Specialty Care?
Fonda Specialty Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Fonda Specialty Care last inspected?
The most recent health inspection for Fonda Specialty Care was on Mar 19, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Fonda Specialty Care?
Fonda Specialty Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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