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Fonda Specialty Care

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⌖ Fonda, IA · Pocahontas County
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Medicare overall rating 5 of 5 stars
Certified beds46
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Fonda Specialty Care

Fonda Specialty Care is a 46-bed nonprofit nursing home in Fonda, IA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Iowa is 3.1. At its last full inspection (Mar 2026), inspectors found 0 problems, fewer than the Iowa average of 6.5. Nurses and aides spend about 3 hr 20 min a day with each resident, less than the Iowa average of 3 hr 49 min. About 23% of its nursing staff left in the past year. It has had no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameFonda Specialty Care
LocationPocahontas County, Iowa
Address607 Queen Street, Fonda, IA 50540 · Pocahontas County
CMS provider number165312
Ownership typeNon-profit (corporation)
Operating companyCare Initiatives · 43 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 1, 1996 (29 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections5 of 5Much above average
Quality measures5 of 5Much above average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection0 (Mar 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    Strength
  • Nursing staff turnover23% a yearIowa average: 44%
    Strength

Things to ask about

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  • Nurse staffing per resident3 hr 20 min a dayIowa average: 3 hr 49 min
    Worse than state average
  • Registered nurse time per resident34 min a dayIowa average: 45 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury1.9%State average: 3.8%
    Better than average
  • Pressure sores (bedsores)0.0%State average: 4.2%
    Better than average
  • Given antipsychotic drugs24.6%State average: 19.5%
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 83% Medicaid
  • 2% Medicare
  • 15% Private pay, insurance and other
Beds in use, on average88%Iowa typical: 79%
Cost of care per resident day$239Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, up from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 15 times.

Overall rating5★
Health inspections5★
Staffing5★
Quality of care5★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201943423.2
Jan 202022323.1
Jan 202132442.9
Jan 202233343.1
Jan 202322152.7
Jan 202422243.0
Feb 202522332.9
Feb 202644443.1
Sep 202655553.3

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

Other nursing homes near Fonda

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Sac City · 50583

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.