Osage Rehab and Health Care CenterCMS ratings, inspections and fines
- Address
- 830 South Fifth Street, Osage, IA 50461
- CCN
- 165173
- Ownership type
- For-profit, limited liability company
- Certified beds
- 46
- Residents per day
- 26
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Osage Rehab and Health Care Center an overall rating of 1 of 5 stars. The last standard survey was on 22 Dec 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $14,433 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Mitchell County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 22 Dec 2025 | 16 | 5 |
| Cycle 2 | 14 Nov 2024 | 13 | 5 |
| Cycle 3 | No date | 15 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 27 Apr 2026 |
| 2 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 27 Apr 2026 |
| 2 Apr 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 27 Apr 2026 |
| 11 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Feb 2026 |
| 22 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 16 Jan 2026 |
| 22 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Jan 2026 |
| 22 Dec 2025 | F0727 | 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. | F | Complaint investigation | 16 Jan 2026 |
| 22 Dec 2025 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 16 Jan 2026 |
| 22 Dec 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard survey | 16 Jan 2026 |
| 22 Dec 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Jan 2026 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2025 | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | D | Complaint investigation | 24 Jun 2025 |
| 8 Apr 2025 | F0584 | 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. | E | Complaint investigation | 1 May 2025 |
| 8 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 1 May 2025 |
| 28 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Mar 2025 |
| 28 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Mar 2025 |
| 28 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Mar 2025 |
| 28 Feb 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 1 May 2025 |
| 14 Nov 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 12 Dec 2024 |
| 14 Nov 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2024 |
| 14 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Dec 2024 |
| 14 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 12 Dec 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Aug 2024 |
| 17 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Aug 2024 |
| 17 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | J | Complaint investigation | 20 Aug 2024 |
| 9 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 25 Apr 2024 |
| 9 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 25 Apr 2024 |
| 9 Apr 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Complaint investigation | 25 Apr 2024 |
| 30 Aug 2023 | F0584 | 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. | E | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 21 Sep 2023 |
| 30 Aug 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | B | Standard survey | 21 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 22 Dec 2025 | Payment denial | 9 | |
| 28 Feb 2025 | Payment denial | 34 | |
| 17 Jul 2024 | Fine | $14,433 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.06 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.62 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.75 | 0.56 | |
| Nurse aides | 1.68 | 2.51 | |
| All nurse staff, weekends | 2.68 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 56.3%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.1% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.8% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Opco Osage IA LLC
- Chain
- Campbell Street Services (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Birchwood Healthcare Partners LLC | Operational/managerial control | 1 Feb 2025 | |
| Campbell Street IA 10 LLC | Operational/managerial control | 1 Feb 2025 | |
| Campbell Street Services LLC | Operational/managerial control | 1 Feb 2025 | |
| Holdco, IA, 10, LLC | Operational/managerial control | 1 Feb 2025 | |
| 5v+ Seniors Healthcare Fund GP, LLC | Adp of the snf | 6 May 2025 | |
| 5v+ Seniors Healthcare Fund, LP | Adp of the snf | 6 May 2025 | |
| Acd Consolidated LLC | Adp of the snf | 1 Sep 2024 | |
| Bear Creek Sraf GP Holdings LLC | Adp of the snf | 1 Sep 2024 | |
| Bear Creek Strategic Real Assets Fund LP | Adp of the snf | 1 Sep 2024 | |
| Campbell Street IA 10 LLC | Adp of the snf | 1 Feb 2025 | |
| Campbell Street Services LLC | Adp of the snf | 1 Feb 2025 | |
| Defranco Investment Co Ltd | Adp of the snf | 1 Sep 2024 | |
| Iaga SNF Holdings LLC | Adp of the snf | 1 Sep 2024 | |
| Iaga SNF Osage LLC | Adp of the snf | 1 Sep 2025 | |
| Iaga SNF Portfolio LLC | Adp of the snf | 6 May 2025 | |
| Nap Holdings LLC | Adp of the snf | 1 Sep 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Mitchell County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Faith Lutheran Home | Osage | 4 of 5 | 2 | $0 | 16 Jul 2025 | |
| Good Samaritan - Saint Ansgar | Saint Ansgar | 5 of 5 | 2 | $0 | 18 Jun 2026 | |
| Stacyville Community Nursing Home | Stacyville | 3 of 5 | 6 | $21,986 | 5 Jun 2025 | |
| Riceville Family Care and Therapy Center | Riceville | 5 of 5 | 2 | $0 | 19 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Osage Rehab and Health Care Center (CCN 165173). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/osage-rehab-and-health-care-center-osage-ia-165173/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Osage Rehab and Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 2 Apr 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 14 Nov 2024.
- Who operates Osage Rehab and Health Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Campbell Street Services. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Osage Rehab and Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.