Nursing Care Index

Fonda Specialty Care

Fonda, Pocahontas County, Iowa · CCN 165312 · Non-profit (Corporation) · part of Care Initiatives (43 facilities, chain average 2.9 stars)

CMS rates Fonda Specialty Care 5 of 5 overall as of August 2026. 46 certified beds, 41 residents a day on average. 14 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.32698 hours per resident per day
Registered nurses0.56363 hours per resident per day
Weekend total2.78823 hours per resident per day
Nursing staff turnover23.1% (registered nurses 20%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-04-18
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-07
2024-04-18
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-07
2023-12-21
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-04
2023-12-21
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-04
2023-11-20 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-15
2023-11-20 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.
Resident Rights Deficiencies · tag F0622
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-11-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-15
2023-08-08
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-08-09

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Care Initiatives
Organization
5% or greater direct ownership interest100%2011-09-01
Computershare Corporate Trust Company, Na
Organization
5% or greater mortgage interest2025-01-01
Computershare Corporate Trust Company, Na
Organization
adp of the snf2025-08-08
Dugdale, Emily
Individual
adp of the snf2025-08-08
Epperson, Faith
Individual
adp of the snf2025-08-08
Whyms, Brian
Individual
adp of the snf2025-08-08
Beal, Michael
Individual
corporate director2020-06-01
Bowen, Lane
Individual
corporate director2021-01-01
Carothers, Mary Jane
Individual
corporate director2023-01-01
Childs, Kevin
Individual
corporate director2023-04-01
Corless, Peter
Individual
corporate director2025-01-01
Krein, Keith
Individual
corporate director2022-06-29
Rust, Elizabeth
Individual
corporate director2023-01-01
Sturm, Denise
Individual
corporate director2021-01-01
Upmeyer, Linda
Individual
corporate director2022-06-29
Beal, Michael
Individual
corporate officer2020-06-01
Dixon, David
Individual
corporate officer2016-06-01
Drake, Emily
Individual
corporate officer2023-01-04
Gilyard, Tanya
Individual
corporate officer2025-05-23
Kuhn, Jeramy
Individual
corporate officer2008-06-25
Mcdyer, Jessica
Individual
corporate officer2023-02-22
Volm, Johanna
Individual
corporate officer2021-01-01
Boeve, Destiny
Individual
operational/managerial control2024-01-01
Dugdale, Emily
Individual
operational/managerial control2024-04-06
Epperson, Faith
Individual
operational/managerial control2025-01-13
Whyms, Brian
Individual
operational/managerial control2024-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pocahontas County.