Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.65 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Exira Care Center has 60 certified beds in Exira, Iowa. The CMS overall rating is 2 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 2 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Aug 7, 2025 lists 4 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $22,880 dated Oct 10, 2024. Total nurse staffing is 3.74 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165412.
At a glance
2 of 5
2 of 5
4 of 5
2 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.65 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Aug 7, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 84 ownership or control parties.
View ownership evidenceCMS records show a $22,880 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
66 currently connected nursing homes share this CMS organization identity with BRIGHTON CONSULTING GROUP LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Oct 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 15, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 25, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 29, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 31, 1994
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 1994
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 5, 1988
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 47 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 66 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 43 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2018
Other facilities connected through this exact CMS organization identity: 16 across CO, IA, KS, NE, SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Oct 1, 2017
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2025)
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 scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2025)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Nov 4, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 19, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Have enough backup water supply for essential areas of the nursing home.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Penalties & enforcement
Published fine amount: $22,880.00
Questions to ask
Facility history
11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.53 to 0.65 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.53 → 0.65
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.42 to 0.53 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.42 → 0.53
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.32 to 0.42 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.32 → 0.42
CMS · Reported in a source release · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $22,880 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.863 | 3.423 |
| RN categories | 0.694 | 0.531 |
Contract staff accounted for 6.9% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.117 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.497 | 0.321 | 0.731 | 2.241 | 11.5% | 91 |
| 2025Q3 | 3.597 | 0.422 | 0.658 | 2.297 | 6.3% | 92 |
| 2025Q4 | 3.666 | 0.529 | 0.589 | 2.396 | 7.8% | 92 |
| 2026Q1 | 3.736 | 0.647 | 0.667 | 2.349 | 6.9% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
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No paid placements. Facilities cannot pay to rank higher. We cite. You decide.