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Ossian Care Center

114 Fisher Street, Ossian, IA 52161 · Non profit - Corporation · 46 certified beds · (563) 532-9440 Medicare & Medicaid certified

Call the home — (563) 532-9440 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent May 2026Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
WINNMED10.2 mi
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1815 Iowa 9 · (563) 277-7004 · Call to confirm hours
Pharmacy
Hy-Vee9.9 mi
915 Short St Ste 107 · (563) 387-6010 · Call to confirm hours
Grocery
9162 Great River Rd · (563) 422-8403 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased20.2%17.1%15.4%worse
Long-stay residents who lose too much weight10.8%4.6%5.4%worse
Long-stay residents with a catheter left in their bladder2.0%1.5%0.9%worse
Long-stay residents with a urinary tract infection5.4%2.4%2.0%worse
Long-stay residents with depressive symptoms3.5%4.2%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.6%3.8%3.3%worse
Long-stay residents whose ability to walk worsened12.8%16.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.8%20.8%18.9%better
Long-stay residents given the seasonal flu vaccine97.7%95.3%95.3%typical
Long-stay residents with pressure ulcers4.9%4.2%4.7%typical
Long-stay residents with worsening bladder/bowel control30.8%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.3%19.5%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%2.1%1.4%better
Long-stay hospitalizations per 1,000 resident days0.581.491.67better
Long-stay outpatient ER visits per 1,000 resident days1.882.081.80typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.18U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.681.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.66
RN hours/ resident / day
0.82
LPN hours/ resident / day
3.15
Aide hours/ resident / day
4.63
Total nurse hours/ resident / day
0.40
RN hoursweekends
40.7%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 46 beds and averages 36.5 residents a day — about 79% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.15 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.81 hrs/resident/day on weekends vs 4.96 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.77 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2026-01-22)
7
at the previous standard inspection (2024-11-21)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · D2026-05-07 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on personnel file review, policy review and staff interview, the facility failed to complete a thorough background check before hire for 1 of 3 staff sampled (Staff A). The facility reported a census of 42 residents.Findings include:The personnel file for Staff A, Certified Nursing Assistant (CNA) documented a hire date of 3/02/26. The Personnel File 2/12/25 Single Contact License & Background Check documented further research was required, and to await Division of Criminal Investigation's (DCI's) final response for criminal history. The Personnel File contained a Record Check Evaluation Form signed by Staff A on 2/17/25 and a Criminal History Record Check Request Form from Staff A's prior employer which contained the Criminal History results as of 2/14/25. The Personnel File failed to document the DCI's Final Criminal History Response from the prior employer to ensure Staff A had been cleared to work.On 5/05/26 at 10:36 AM Staff B, Business Office/Human Resources explained the Record Check Evaluation Consent Form is attached to the facility application form and she addresses…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review and staff interview the facility failed to provide adequate supervision in the Chronic Confusion and Dementing Illness (CCDI) unit (a nursing facility unit designed to provide tailored care and a safe, home-like environment for individuals with advanced Alzheimer's disease or related dementias) to prevent a resident-to-resident altercation which resulted in two separate physical altercations and failed to provide adequate supervision to a resident that wandered into another residents room which placed a resident at risk of an altercation for 3 of 4 residents reviewed (Resident #2, #3, and #4). The facility identified a census of 42 residents.Findings include:1.An Electronic Healthcare Record (EHR) showed Resident #2 admitted to the facility on [DATE] and transferred into the CCDI unit on 1/13/26.Resident #2's Minimum Data Set (MDS) assessment dated [DATE] showed a short/long term memory impairment. Resident #2 remembered the location of her room only and had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-22 · tag F0552 — pattern
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and policy review the facility failed to obtain informed consent prior to starting psychotropic medications that have black box warnings (the most serious safety warning used by the Food and Drug Administration (FDA) and requires the healthcare provider to have a comprehensive discussion with the resident about the risks, benefits, and alternatives for use) for 5 of 5 residents reviewed for psychotropic medications (Resident #33, #2, #14, #4, and #3). The facility reported a census of 37 residents. Findings include: 1.Resident #33's 10/23/25 Minimum Data Set (MDS) Assessment documented a Brief Interview for Mental Status (BIMS) score of 9 out of 15 indicating a moderate cognitive loss. The MDS documented Resident #33 did not exhibit any behaviors, hallucinations or delirium and had diagnoses of depression. Resident #33 utilized antidepressant medication. A Medication Review Report signed by the Provide on 11/18/25 listed the following physician ordered medications:a.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews and facility cleaning checklists, the facility failed to maintain sanitary practices by improperly storing clean dishes and maintaining a clean kitchen. The facility reported a census of 37 residents. Findings include:During initial kitchen observation on 1/20/2026 at 9:10 AM, the following findings were identified: dried food and liquid splatter on the refrigerator in the main kitchen area, convection oven thick dust on top with dried food splatter, sugar and flour storage bins with dried food particle inside and outside of containers, open shelving where dishes are stored dusty and dried dark liquid noted, pans stored on open shelves not inverted, floors throughout kitchen, ceiling vents with thick grease and dust, fan in clean dish area blowing on dishes noted with thick dust, plastic covering for the metal cart which holds the cooking sheets with dried food particles on it, large mixer with dried food particles all over it, and counter top food weigh machine with dried food particles all over it. On 1/20/26 at 9:20 AM Staff E, [NAME]…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-22 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, policy review and staff interview the facility failed to notify the physician/provider when holding cardiac medication according to physician ordered vital sign parameters for 1 of 1 residents reviewed for a change in condition (Resident #12). The facility identified a census of 37 residents.Findings include:Resident #12's 12/18/25 Minimum Data Set (MDS) Assessment showed a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating a moderate cognitive loss. The MDS listed diagnoses of heart failure, high blood pressure, end stage renal disease, Alzheimer's Disease, Non-Alzheimer's Dementia, and unspecified atrial fibrillation (an irregular heartbeat that makes the heart less efficient at pumping blood and raises the risk of blood clots, stroke and heart failure). A 10/31/25 Clinic Note documented Resident #12 admitted [DATE] to hospital after presenting in the emergency room with heart rates in the 160's. She was hospitalized with atrial fibrillation…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-22 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review, and staff interviews the facility failed to provide residents and family with adequate notification of financial responsibility when Medicare Part A services were scheduled to be discontinued for 1 of 3 residents reviewed (Resident #42.) The facility reported a census of 37 residents. Findings include:Record review for Resident #42 indicated he received skilled services from 12/17/25 to 1/6/26. Resident #42's Electronic Health Record lacked documentation of the notices being given. On 1/22/26 at 10:49 AM, the Administrator reported Resident #42 did not get a notice of skilled care ending. The Administrator reported she was unaware that the notices were for part A.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to accurately code the use of restraints for 2 of 4 resident reviewed on the Minimum Data Set (MDS) Assessment (Resident #24 and #27). The facility identified a census of 37 residents. Finding include:1.Resident #24's 11/6/25 Minimum Data Set (MDS) Assessment showed a Brief Interview for Mental Status (BIMS) score of 2 out of 15 indicating a severe cognitive loss. Resident #24 did not exhibit upper/lower extremity impairments and was dependent upon staff for chair/bed to chair transfers. The MDS included diagnoses of Alzheimer's Disease with late onset and anxiety. The MDS documented bed rails were utilized daily as a restraint.A Medication Review Report (MRR) signed by the Provider on 12/12/25 listed a physician order for side rails at the head of the bed to aide in bed mobility and repositioning. Original…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-22 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interviews, and Manufacturer's Patient Information review, the facility failed to follow the Manufacturer's Patient Information for proper administration of an insulin pen for 1 of 1 resident sampled (Resident #9). The facility identified a census of 37 residents. Findings include:During Medication Administration Task observation on [DATE] at 7:57 AM Staff C, Licensed Practical Nurse (LPN) reviewed Resident #9's [DATE] Electronic Medication Administration Record (EMAR) which contained a physician order to administer Novolog (insulin aspart) inject 5 units under the skin (subcutaneously) one time a day for diabetes mellitus. Staff C removed Resident #9's insulin pen from the medication cart, placed a needle on the pen without cleaning the rubber stopper with alcohol, dialed the dose knob to 5 units without priming the pen per the Patient Instructions and stated she planned to administer Resident #9's insulin as she walked approximately 10 feet away from the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-10-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff, Pharmacist, and Physician interview the facility failed to provide timely interventions and notification to the resident's Physician after a resident presented with a low blood pressure. was lethargic, drowsy, and had blood pressure of 63/36 millimeters of mercury (mmHg) (normal blood pressure is considered to be less than 120/80 millimeters of mercury (mmHg) for one of three residents reviewed for assessment and intervention (Resident #1). The facility reported a census of 40 residents. Findings include:The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented a Brief Interview for Mental Status (BIMS) of 11, which indicated moderate cognitive impairment. The MDS also identified the resident was dependent (staff did all the effort) for assistance with transfers and partial to moderate assistance (staff did less than half the effort) with bed mobility. The MDS include diagnoses of hypertension, heart failure, anemia, and fracture.Review of Resident #3's Skilled…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-11-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, document review, manufacturer information, and staff interview the facility failed to have a proper system in place to ensure proper sanitation of all dishware. The facility identified a census of 37 residents. Findings include: Upon entrance to the facility on [DATE] at 10:00 AM the Administrator reported the facility had a COVID 19 outbreak with 9 residents positive for COVID 19. Observation on 11/18/24 at 10:26 AM revealed the dishwasher running with a wash temperature of 150 degrees and a rinse temperature of 151 degrees. Further observation revealed a Lo Temp Sanitizer chemical system in place running to the dishwasher. Staff K, Dietary reported they had changed the system over to a chemical sanitation system. Staff K tested the dishwasher for proper sanitation by utilizing a Hydrion test strip. After running the dishwasher through two different wash/rinse cycles, Staff K dipped the test strip into the hot water. She laid the test strip next to the test chart and stated the dishwasher…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · E2024-11-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, Center for Disease Control and Prevention (CDC) Infection Control Guidance: Sudden Acute Respiratory Syndrome (SARS) COVID 2 Guidelines, COVID 19 Clinical Guidance Summary Review and staff interviews, the facility failed to follow CDC COVID 19 guidance and utilize personal protective equipment (PPE) to prevent the potential spread of COVID 19 affecting 7 of 10 resident in the CCDI (chronic confusion or dementing illness) unit (Resident #4, #10, #13, #25, #21, #36 and #38). The facility reported a census of 37 residents. Findings include: Upon entrance to the facility on [DATE] at 10:00 AM the Administrator reported the facility had 9 residents on isolation for COVID 19. The facility provided a Resident Roster which listed Residents #4, #10, #21 and #36 as positive for COVID 19 in the CCDI unit. Resident #13 tested positive for COVID 19 on 11/19/24. Observation on 11/18/24 at 11:29 AM revealed Resident#21 with an isolation bin outside of her room that contained N95…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and policy review the facility failed to ensure 1 of 16 residents Advance Directive forms was signed by the resident and their Doctor in a reasonable amount of time upon admission to the facility (Resident #9). The facility reported a census of 37 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #9 documented an admission date into the facility of 10/17/24. The MDS also documented a Brief Interview for Mental Status (BIMS) of 15 indicating no cognitive impairment. Record review on 11/18/24 at 2:40 PM revealed Resident #9 Advance Directives form documented Resident #9 requested an order for Do Not Resuscitate (DNR) on 10/17/24, however, the form lacked documentation of her Physicians signature giving an order for her wishes Record review of Resident #9 Medication Review Report dated 10/18/24 gave an order for DNR Code signed by her Doctor, but lacked Resident #9 request. Follow up record review of Resident #9 Advance Directive form on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and policy review the facility failed to complete comprehensive Minimum Data Set (MDS) assessments resulting in failure to implement a comprehensive Care Plan for 2 of 4 residents reviewed (Resident #3 and #36). The facility reported a census of 37 residents. Findings include: 1. The comprehensive Minimum Data Set (MDS) dated [DATE] for Resident #3 documented a Brief Interview for Mental Status (BIMS) of 14 indicating no cognitive impairment. The MDS also documented diagnoses of Major Depressive Disorder, Adjustment Disorder, and Post Traumatic Stress Disorder (PTSD). During an interview on 11/21/24 at 10:26 AM with the facilities Social Worker revealed she would expect Resident #3 diagnosis of PTSD be on her Care Plan and include goals and interventions relevant to her PTSD. She revealed she did not have a process to ensure all diagnoses are routinely reviewed and implemented into the Care Plan but plans to review quarterly going forward. 2. The comprehensive Minimum…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews the facility failed to ensure 1 of 1 residents Preadmission Screening and Resident Review (PASRR) reflected all current diagnoses related to mental health (Resident #3). The facility reported a census of 37 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #3 documented a Brief Interview for Mental Status (BIMS) of 14 indicating no cognitive impairment. The MDS also documented diagnoses of Major Depressive Disorder, Adjustment Disorder, Post Traumatic Stress Disorder (PTSD). The MDS dated [DATE] for Resident #3 documented diagnoses of Major Depressive Disorder, Adjustment Disorder, Post Traumatic Stress Disorder (PTSD). Record review on 11/20/24 of Resident #9 current PASRR completed on 11/21/2023 lacked diagnoses of Adjustment Disorder, PTSD. During an interview on 11/21/24 at 10:26 AM with the facilities Social Worker revealed she would expect Resident #3 diagnoses of PTSD be listed on her PASRR within a reasonable amount of time…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and policy review the facility failed to ensure 1 of 1 residents reviewed for falls with major injury fall interventions were in place at the time of a fall when a clip alarm to alert staff a resident was moving failed to be attached to a residents clothing (Resident #36). The facility reported a census of 37 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #36 documented a Brief Interview for Mental Status (BIMS) of 9 indicating moderate cognitive impairment. The MDS also documented diagnoses of dementia and anxiety. The MDS revealed he is dependant on staff for walking and needs substantial to moderate assist with transfers. Record review of the facilities Root Cause Analysis for Resident #36 fall dated 9/28/24 documented his fall occurred in the facilities dementia unit lobby at 5:30 AM. Prior to the fall he was sleeping in a recliner with the foot rest up. Resident #36 used two (2) alarms, a clip alarm to his clothing and a motion…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and policy review the facility failed to ensure antipsychotic medication (a class of drugs used to treat severe mental health disorders and psychotic symptoms) had appropriate diagnoses for use and create resident specific interventions and medication side effects for 1 of 1 residents reviewed (Resident #36). The facility also failed to obtain informed consent for use of psychotropic medications for 1 of 1 residents reviewed (Resident #36). The facility reported a census of 37 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #36 documented a Brief Interview for Mental Status (BIMS) of 9 indicating moderate cognitive impairment. The MDS also documented diagnoses of dementia and anxiety, and was taking antipsychotic and antidepressant medications. Record review of Resident #36 orders in his Electronic Health Record (EHR) on 11/21/24 revealed his first order for antipsychotic medications started on 10/4/24 and had frequently changed.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-10-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, and staff interview the facility failed to properly label and date opened food prior to storage. The facility identified a census of 38 residents. Findings include: During an initial tour of the kitchen on 10/09/23 at 2:45 PM the following food items were observed not labeled and dated in the food storage areas: a. 1 package of hamburger buns with 3 ½ buns left in the package b. 1 bag gluten free bread with 5 slices of bread in the bag c. ½ package of open coconut flakes d. 1 package ¼ full of butterscotch baking chips e. ½ bag of mixed nuts f. ½ loaf of raisin bread g. ¾ package of raspberry gelatin h. One 12 pack of Cream of Wheat with 7 packages left in the box i. One 12 pack of Cream of Wheat with 11 packages left in the box j. ½ bag of open frozen raspberries k. 1 container Hormel Thick and Easy nectar consistency water with hint of lemon ¾ full l. 1 shaker cup of an unknown liquid substance, unlabeled and dated m. 1 container ¾ full of Liqua Cel Orange Sugar Free drink…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility document review, and staff interview the facility failed to report an allegation of abuse in the required 2-hour time frame to the Iowa Department of Inspections, Appeals, and Licensing (DIAL). The facility reported a census of 38 residents. Findings include: Resident #27's Minimum Data Set (MDS) dated [DATE] documented an admission date of 11/16/21. The MDS listed diagnosis including Alzheimer's Disease. The MDS documented the resident required extensive assistance of 2 people for transfers, toilet use, and personal hygiene. She required extensive assistance of 1 person for eating and dressing. She required physical assistance for bathing. The Progress Note written on 4/20/23 at 11:43 AM by Staff D, Registered Nurse (RN), documented Staff E, Certified Medication Aid (CMA), reported red marks on the resident's neck that were not there prior to the resident's shower. Facility document titled Incident Audit Report documented the red marks were noted at 7:15 AM. A summary…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility document review, policy review, and staff interview the facility failed to complete a thorough investigation after an allegation of abuse. The facility reported a census of 38 residents. Findings include: Resident #27's Minimum Data Set (MDS) dated [DATE] documented an admission date of 11/16/21. The MDS listed diagnosis including Alzheimer's Disease. The MDS documented the resident required extensive assistance of 2 people for transfers, toilet use and personal hygiene. She required extensive assistance of 1 person for eating and dressing. She required physical assistance for bathing. The Progress Note written on 4/20/23 at 11:43 AM by Staff D, Registered Nurse (RN), documented Staff E, Certified Medication Aid (CMA), reported red marks on the resident's neck that were not there prior to the resident's shower. Facility document titled Incident Audit Report documented the red marks were noted at 7:15 AM. A summary of the situation typed by Staff F, Licensed Practical…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
BRINCKS, MARKIndividualCORPORATE DIRECTORsince 11/14/2016
ELSBERND, MELVINIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 11/01/1995
LANSING, KENNETHIndividualCORPORATE DIRECTORsince 11/01/1990
SENDER, MARYIndividualCORPORATE DIRECTORsince 11/14/2016
UHLENHAKE, LEANNEIndividualCORPORATE DIRECTORsince 01/20/2025
BAUMLER, KARLAIndividualCORPORATE OFFICERsince 11/14/2016
BUSHMAN, THOMASIndividualCORPORATE OFFICERsince 11/01/1998
MONROE, TAMIIndividualCORPORATE OFFICERsince 11/01/1989
OSSIAN SENIOR HOSPICE INCORPORATEDOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/03/2013
FOSAAEN, RANDYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2022
JACKSON, HEATHERIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/26/2022
MACARIO, NATALIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/13/2017
MANNING, AMYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/28/2023
MARSHALL, RACHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/16/2024
WENNER, PAULIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/16/2024
BCG HOLDINGS INCOrganizationADP OF THE SNFsince 10/01/2024
BLUE STONE THERAPY INCOrganizationADP OF THE SNFsince 08/01/2023
BRIGHTON CONSULTING GROUP LLCOrganizationADP OF THE SNFsince 10/01/2024
CATTAIL BCG LLCOrganizationADP OF THE SNFsince 10/01/2024
CATTAIL CONSULTING LLCOrganizationADP OF THE SNFsince 09/30/2022
CATTAIL INCOrganizationADP OF THE SNFsince 10/01/2024
ECSI INCOrganizationADP OF THE SNFsince 10/01/2024
HACKER NELSON AND CO PCOrganizationADP OF THE SNFsince 03/01/2012
IOWA HEALTH CARE ASSOCIATIONOrganizationADP OF THE SNFsince 10/01/2024
BAPPE, SARAHIndividualADP OF THE SNFsince 11/01/2021
BRANUM, MARKIndividualADP OF THE SNFsince 02/01/2012

CMS files one row per role, so the 29 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$3.6M
Net patient revenuemost recent cost report
-2.5%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 30%Medicare 3%Other / private 66%

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$267per resident / day
operating cost
$8,123per month
≈ monthly operating cost
$261per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165576. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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