Nursing Home Alerts

Fonda Specialty Care

607 Queen Street, Fonda, IA 50540

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Fonda Specialty Care is a nursing home in Fonda, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(712) 288-4441
Last standard health inspection
March 19, 2026 (7 months ago)
Certified beds
46
Residents per day, on average
39.8
Ownership type
Non profit - Corporation
Legal business name
Care Initiatives
Chain
Care Initiatives
Takes part in
Medicare and Medicaid

Fewer health citations than the Iowa average (13 vs 21).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 8, 2026

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 5 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  4. 4 citations

    Fire safety inspection on March 19, 2026

    CMS lists this as a standard inspection.

    • Citation K0222. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 23, 2026.

      CMS has cited this home for K0222 2 times since 2025.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on March 27, 2026.

      CMS has cited this home for K0351 2 times since 2025.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 27, 2026.

      CMS has cited this home for K0353 2 times since 2025.

    • Citation K0923. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on March 26, 2026.

    See this home on CMS Care Compare

  5. CMS update of February 25, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  6. CMS update of December 15, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 4 of 5.

  8. CMS update of June 25, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  9. CMS update of April 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 2.9 to 2.3 hours per resident per day.

  10. 9 citations

    Fire safety inspection on February 27, 2025

    CMS lists this as a standard inspection.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on March 5, 2025.

      CMS has cited this home for E0039 2 times since 2023.

    • Citation K0222. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 26, 2025.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on March 26, 2025.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 5, 2025.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on February 28, 2025.

      CMS has cited this home for K0363 2 times since 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on March 5, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on March 5, 2025.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on February 28, 2025.

    • Citation K0922. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use and maintenance of medical gas equipment.

      CMS lists it as corrected on February 25, 2025.

    See this home on CMS Care Compare

  11. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  12. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  13. 2 citations

    Health inspection on April 18, 2024

    CMS lists this as a complaint inspection.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on May 7, 2024.

      CMS has cited this home for F0658 2 times since 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on May 7, 2024.

    See this home on CMS Care Compare

  14. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  15. 2 citations

    Health inspection on December 21, 2023

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 4, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 4, 2024.

    See this home on CMS Care Compare

  16. 9 citations

    Health inspection on November 20, 2023

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 15, 2023.

    • Citation F0622. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 15, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on December 15, 2023.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 15, 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 15, 2023.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 15, 2023.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on December 15, 2023.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 15, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 15, 2023.

    See this home on CMS Care Compare

  17. 3 citations

    Fire safety inspection on November 20, 2023

    CMS lists this as a standard inspection.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on December 1, 2023.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on November 29, 2023.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on November 29, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Fonda Specialty Care last inspected?

CMS lists March 19, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Fonda Specialty Care have?

CMS lists 13 health citations since November 20, 2023. CMS also calls these deficiencies.

Has Fonda Specialty Care been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Fonda Specialty Care?

Its CMS overall star rating is 5 of 5.

Is Fonda Specialty Care a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.