Iowa › Winneshiek County › Ossian
Ossian Care Center
114 Fisher Street, Ossian, IA 52161
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ossian Care Center is a Non-profit, corporation nursing home in Ossian, Iowa, certified for 46 beds and caring for about 37 residents a day.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (9, 7, 3 by cycle, most recent first), none at the actual-harm level. That is 41.3 per 100 beds, more than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.6 hours per resident per day (0.7 RN), above the Iowa median of 3.7; nursing staff turnover is 40.7%.
Compared with county, state and nation
| Measure | This facility | Winneshiek Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 19 | 16 | 28.7 |
| Citations per 100 beds | 41.3 | 32.6 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.6 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 40.7% | 48.1% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jan 2026, 21 Nov 2024.
Severity mix: D ×14 E ×3 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 12 Jun 2026 |
| 7 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Jun 2026 |
| 22 Jan 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 13 Feb 2026 |
| 22 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Feb 2026 |
| 22 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 13 Feb 2026 |
| 22 Jan 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 13 Feb 2026 |
| 22 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 13 Feb 2026 |
| 22 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 13 Feb 2026 |
| 20 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Dec 2025 |
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Dec 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Dec 2024 |
| 21 Nov 2024 | F0578 | 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. | D | Standard survey | 21 Dec 2024 |
| 21 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 21 Dec 2024 |
| 21 Nov 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 21 Dec 2024 |
| 21 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Dec 2024 |
| 21 Nov 2024 | F0758 | 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. | D | Standard survey | 21 Dec 2024 |
| 12 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Nov 2023 |
| 12 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Nov 2023 |
| 12 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.7%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Ossian Senior Hospice Incorporated.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ossian Senior Hospice Incorporated | Operational/managerial control | NOT APPLICABLE | 10/03/2013 |
| Bcg Holdings Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Blue Stone Therapy Inc | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Brighton Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Bcg LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Consulting LLC | Adp of the snf | NOT APPLICABLE | 09/30/2022 |
| Cattail Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Ecsi Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Hacker Nelson and Co Pc | Adp of the snf | NOT APPLICABLE | 03/01/2012 |
| Iowa Health Care Association | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Winneshiek County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Wellington Place | Decorah | 56 | 3 | 4 | 4 | 3 | 5.4 | — | 10 Aug 2023 |
| The Highlands | Decorah | 86 | 2 | 2 | 4 | 28 | 32.6 | $94K | 18 Jun 2026 |
All 3 facilities in Winneshiek County
Questions and answers
How many deficiencies has Ossian Care Center been cited for?
19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Ossian Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Ossian Care Center compare?
Reported total nurse staffing is 4.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Ossian Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Ossian Senior Hospice Incorporated. Individual owners and managers are not listed on this site.
When was Ossian Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 22 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.