Osage Rehab and Health Care Center
830 South Fifth Street · Osage, IA · 50461 · 6417325520
46 certified beds For profit - Limited Liability company Chain: Campbell Street Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $14,433 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $14,433 |
Inspection citations (46 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · D April 2, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 11, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · D December 22, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 22, 2025
Ensure each resident receives an accurate assessment.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 16, 2026 · Administration
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Potential for harm · D December 22, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2026 · Infection Control
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Potential for harm · D December 22, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 16, 2026 · Infection Control
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Potential for harm · D December 22, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 16, 2026 · Infection Control
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Potential for harm · D December 22, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 22, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected January 16, 2026 · Nursing and Physician Services
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Potential for harm · D December 22, 2025 · found via complaint
Post nurse staffing information every day.
Corrected January 16, 2026 · Nursing and Physician Services
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Potential for harm · D June 11, 2025 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected June 24, 2025 · Administration
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Potential for harm · E April 8, 2025 · found via complaint
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.
Corrected May 1, 2025 · Resident Rights
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Potential for harm · D April 8, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 1, 2025 · Nursing and Physician Services
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Actual harm · G February 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 22, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 28, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 1, 2025 · Nursing and Physician Services
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Potential for harm · D November 14, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 12, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 12, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 22, 2025 | Payment Denial | 9 days |
| February 28, 2025 | Payment Denial | 34 days |
| July 17, 2024 | Fine | $14,433 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165173 · certified since April 9, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.