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C
Below Standard

Fonda Specialty Care

607 Queen Street · Fonda, IA 50540

7122884441 · Non profit - Corporation

46 beds42.4 residents52 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Fonda Specialty Care receives an overall staffing grade of C (Below Standard). With 3.0678 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4184 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.98% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0678 HPRD — needs 0.41 more hours per resident per day.
⚠️RN staffing (0.4184 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0678hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.4184hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
16.98%
3.2225 weekday → 2.6753 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9379hrs/resident/day
Direct care aides
LPN HPRD
0.3547hrs/resident/day
Licensed practical nurses
Consistency
0.3566std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pocahontas County Average-0.44 HPRD
3.50
03.07 HPRD
vs. Iowa State Average-0.75 HPRD
3.82
03.07 HPRD
vs. National Average-0.83 HPRD
3.90
03.07 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Fonda Specialty Care ★
Fonda · This facility
—
C
3.06780.4184★★★★☆
Park View Rehabilitation Center
Sac City
13.1 mi
C
3.6480.4711★★☆☆☆
Good Samaritan Society - Manson
Manson
16 mi
C
3.10210.7593★★★☆☆
Laurens Care Center
LAURENS
17.8 mi
B
3.94190.8303★★★★☆
Methodist Manor Retirement Community
Storm Lake
19.4 mi
A
4.51340.9397★★★☆☆
Accura Healthcare of Lake City, LLC
Lake City
22.5 mi
C
3.85370.4983★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
28
Total Deficiencies
$0
Fines Assessed
Apr 18, 2024Health
2 deficiencies cited
▼
Dec 21, 2023Health
2 deficiencies cited
▼
Nov 20, 2023Health
9 deficiencies cited
▼
Aug 8, 2023Health
1 deficiency cited
▼
Mar 8, 2023Health
1 deficiency cited· Includes actual harm
▼
Oct 24, 2022Health
13 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.