Fonda Specialty Care

    607 Queen St, Fonda, IA, 50540
    3.6 · 9 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Great caregivers, management severely lacking

    The direct care staff here are wonderful - kind, dedicated, attentive, and my husband has made friends and enjoys activities and flexible dining. That said, management is severely lacking: poor cleanliness (even bed-bug/hygiene issues reported), denied family access, unreported falls, missing valuables, and delayed medical care that progressed from a UTI to sepsis. Great caregivers, but the facility is unsafe and poorly managed - I would avoid.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.56 · 9 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.9
    • Meals

      4.5
    • Amenities

      1.0
    • Value

      3.6

    Pros

    • Caring, kind, and dedicated staff
    • Staff described as responsive and attentive in emergencies
    • Friendly and accommodating caregivers
    • Positive caregiver-resident engagement
    • Good / decent food
    • Flexible dining options
    • Plenty of scheduled activities (per posted calendars)
    • Social opportunities — residents making friends
    • Reports of a clean facility (from some reviewers)
    • Overall “great care” and “great people” reported by some families

    Cons

    • Poor cleanliness and hygiene issues
    • Fecal contamination on residents' clothing
    • Laundry not being done / clothes left unwashed
    • Food residue/crusted food left on residents' clothing
    • Multiple falls without family notification
    • Delayed medical care (UTI reportedly progressed to sepsis)
    • Bed bug infestation reported
    • Missing valuables (money, new shoes, gifts)
    • Management unresponsive; unreturned calls
    • Administration described as neglectful or money-focused
    • Denial of family access to facility
    • Limited activities or inadequate seating in common areas
    • Inconsistent quality of care across reports

    Summary review

    The reviews for Fonda Specialty Care are strongly polarized, with one clear recurring theme: staff at the point of care are frequently praised, while facility-level management, consistency, and basic hygiene/safety raise major concerns. On the positive side, many reviewers emphasize that caregivers are caring, kind, dedicated, and engaging — several comments call staff “awesome,” “rock stars,” or note that residents are happy, making friends, and respond well to the caregivers. Multiple reviewers mention that food is good or decent, that there are flexible dining options, and that activity calendars show plenty of events. A number of families explicitly state that their loved ones receive great, attentive care in day-to-day interactions and that staff respond appropriately when a resident is in distress.

    Conversely, several reviews describe serious and specific problems with facility cleanliness, infection control, and basic resident upkeep. Reported incidents include feces on residents’ jeans, crusted food left on shirts, clothes not being washed, and even an allegation of bed bugs. These issues indicate either inconsistent housekeeping practices or failures in resident personal care routines. There are also multiple reports of missing valuables (money, new shoes, gifts), which raises additional concerns about security, inventory controls, or staff oversight of resident belongings.

    Safety and medical care are another area of mixed but critical feedback. Some reviews praise staff for attention during an acute event, but others report disturbing lapses: multiple falls with no family notification and a delayed response to a urinary tract infection that allegedly progressed to sepsis. Those particular allegations point to potentially serious failures in monitoring, escalation protocols, communication with families, and medical follow-up. These are not minor complaints and would merit investigation and clarification by anyone considering placement.

    Management, communication, and consistency appear to be central fault lines. Several reviewers describe administration as unresponsive (unreturned calls), useless, neglectful, or focused on money rather than resident care. At least one reviewer reports being denied family access to the facility, which conflicts with other reports of family involvement and contributes to a sense of inconsistent policy enforcement. Overall, reviewers present a dichotomy: frontline staff are often praised, while leadership, policies, and systemic practices are criticized for failing to ensure consistent, safe care.

    Activities and social life are similarly mixed. While calendars and some reviewers indicate that there are plenty of activities and opportunities for socialization (residents making friends, husband being happy), other reviewers say activities are limited or complain that seating in common areas is inadequate, which may indicate either capacity issues or variability in how activities are executed.

    In summary, the pattern across reviews suggests that experiences at Fonda Specialty Care vary substantially depending on which part of the operation one encounters. Strengths are concentrated at the caregiving level: many frontline staff receive high marks for compassion, responsiveness, and engagement. Weaknesses are concentrated at facility operations and management: hygiene lapses, possible pest problems, missing belongings, fall management, delayed medical escalation in at least one severe case, and poor communication with families. These issues point to inconsistency in standards and oversight rather than a uniformly positive or negative environment.

    Anyone evaluating Fonda Specialty Care should take a careful, investigative approach: tour the facility multiple times (including evenings/weekends), ask about infection control and bed bug history, request recent inspection reports, inquire about fall-prevention and escalation protocols, ask how they handle laundry and personal belongings, check staffing ratios and turnover, and request references from current families. The reviews suggest strong individual caregivers who may be constrained by systemic problems; prospective residents and families should weigh the praised staff responsiveness against the cited management and safety concerns when making a placement decision.

    Location

    Map showing location of Fonda Specialty Care

    About Fonda Specialty Care

    Fonda Specialty Care sits at 607 Queen Street in Fonda, Iowa, and belongs to the Care Initiatives network, which is known across Iowa for specializing in skilled nursing, memory care, assisted living, independent living and hospice services, and while the building can take up to 46 residents, it's not accepting new patients right now, but they do keep their information up to date so folks can get a clear idea about costs, services, and whether space might open up. The facility helps older adults who need support with daily living or who are dealing with diseases like dementia, offering memory care services and wander supervision, and also provides a wide range of medical support in the form of pain management, wound care, intravenous therapy, hydration therapy, postoperative care and both long-term and short-term ostomy and tracheostomy care. Meals can be delivered to residents who need them, and respite care is available for families who need a break or support after a hospital stay, with both in-home and out-of-home options listed. There's therapy on site, including physical, occupational, and speech therapy, with a focus on keeping people moving, thinking, and feeling better, and for those coming from the hospital or needing rehab in between, there's skilled nursing and short-term rehabilitation too, with nursing staff present and able to help with tube feeding, intravenous therapy or other needs that come up. As part of the Rolling Hills Community Services Region and the Iowa Health Care Association, this place offers healthcare, shelter, and support for seniors and those facing complex health challenges, with social and educational activities to help folks stay active and engaged. Tours are scheduled by appointment, where people can walk through, meet staff and residents, and see what life is like here, and the staff-which includes more than 55 people-are trained to speak English and provide specialty food for different needs, and the online profile for Fonda Specialty Care gets updates about once a month so information stays current, with a profile people can print, share, or save as a vCard. The office has regular hours from Monday through Friday, eight to five, though the facility itself stays open all the time, and services range from skilled nursing and rehabilitation to home care and hospice, all focused on helping residents have as good a quality of life as possible, even though Fonda Specialty Care isn't accredited right now and doesn't do telehealth. The facility is affiliated with Greater Southside Health and Rehabilitation, with oversight from Pocahontas County, and it relies on Care Initiatives' long-standing experience to provide care for seniors who need anything from ongoing support to a temporary place to recover before heading back home.

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