B
Accura Healthcare of Pomeroy, LLC
69/100 score
0.96 hrs RN staffing
8 deficiencies
Fonda Specialty Care
607 Queen Street, Fonda, IA 50540
Operator
CARE INITIATIVES · 43 facilities
- Provider number (CCN)
- 165312
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified beds
- 46
- Phone
- (712) 288-4441
- CMS data as of
- August 1, 2026
A
●
stable
Staffing 0% over tracking period
What the records show
CMS rates Fonda Specialty Care 5 out of 5 stars overall, with 4 of 5 for health inspections, 5 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 14 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by CARE INITIATIVES, which scores 12 points above the national average.
Reviews, Ratings and Official Records
This page reviews Fonda Specialty Care using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.56 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
14
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★★ (5/5)
Staffing: ★★★★★ (5/5)
|
|
NursingHomeGrade Score
|
89/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.56 hrs |
|---|---|
| IA median | 0.69 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 20.0% · Total nursing staff turnover: 23.1%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 19, 2026.
- Citations shown below span 1 recorded inspection cycle.
- Survey dates on file range from August 8, 2023 to April 18, 2024.
Source records: CMS Care Compare profile for provider 165312 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
14 deficiencies found. 14 corrected. None involved actual harm.
Inspection cycle 3 (November 20, 2023)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2024
E
Potential harm — pattern
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 9, 2023
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected January 4, 2024
D
Potential harm — isolated
F0690
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0658
Status: Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2024
D
Potential harm — isolated
F0641
Status: Corrected
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0655
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0656
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0657
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0658
Status: Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0580
Status: Corrected
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 — Deficient, Provider has date of correction, corrected January 4, 2024
E
Potential harm — pattern
F0584
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
D
Potential harm — isolated
F0622
Status: Corrected
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 — Deficient, Provider has date of correction, corrected December 15, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Fonda Specialty Care in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- Fonda Specialty Care
- Legal business name
- CARE INITIATIVES
- Address
- 607 Queen Street, Fonda, IA 50540
- Phone
- (712) 288-4441
- Provider number (CCN)
- 165312
- Ownership type
- Non profit - Corporation
- Operator
- CARE INITIATIVES · 43 facilities
- Medicare/Medicaid certified since
- December 1, 1996
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Fonda
Compare local nursing homes using the same CMS-backed grading method.
D
Park View Rehabilitation Center
38/100 score
0.69 hrs RN staffing
17 deficiencies
B
Good Samaritan - Manson
76/100 score
0.72 hrs RN staffing
7 deficiencies
A
Laurens Care Center
81/100 score
1.02 hrs RN staffing
6 deficiencies
A
Methodist Manor Retirement Community
90/100 score
1.04 hrs RN staffing
3 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
Need help choosing a facility?
Get free guidance from senior living advisors. We don't earn a fee for these links, and we never take payment from nursing facilities.
Compare nearby options ↗ Get free help ↗↗ Links open independent third-party sites in a new tab.
Get score alerts for this facility
We'll email you when Fonda Specialty Care's staffing score changes.