Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Fonda Specialty Care

Fonda, IA · 46 certified beds · Last Life Safety survey March 19, 2026

CMS Certification Number 165312 · first certified December 1996

Ownership

Operated by CARE INITIATIVES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IA

16 citations — more than 70% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0039

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	16
Median facility in IA	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 20, 2023	3
February 27, 2025	9
March 19, 2026	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0351	Install an approved automatic sprinkler system.	2	2026-03-19
K-0363	Install corridor and hallway doors that block smoke.	2	2025-02-27
E-0039	Conduct testing and exercise requirements.	2	2025-02-27
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-03-19
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2026-03-19
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2025-02-27
K-0923	Have proper medical gas storage and administration areas.	1	2026-03-19
K-0712	Have simulated fire drills held at unexpected times.	1	2025-02-27

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 4
Emergency Preparedness Deficiencies 2
Egress Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	4
Emergency Preparedness Deficiencies	2
Egress Deficiencies	2
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 19, 2026 — 4 citations

Citations issued on March 19, 2026
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 23, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 27, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 27, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 26, 2026)

February 27, 2025 — 9 citations

Citations issued on February 27, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 5, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (February 26, 2025)
K-0351	Install an approved automatic sprinkler system.	Waiver has been granted (March 26, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 5, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 28, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 5, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 5, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 28, 2025)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (February 25, 2025)

November 20, 2023 — 3 citations

Citations issued on November 20, 2023
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 1, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 29, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.