Oskaloosa Care Center

Nursing Home & Skilled Nursing · Oskaloosa, IA

CMS overall rating

605 Highway 432, Oskaloosa, IA 52577 View map

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Oskaloosa Care Center accepts Medicare, Medicaid, and private pay.

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Oskaloosa Care Center accepts Medicare, Medicaid, and private pay.

Overview of Oskaloosa Care Center

The 83-bed senior living property at Highway 432 in Oskaloosa, Iowa, operates under the ownership of the Revocable Trust Barbara S. Donohue. This church-affiliated nonprofit home is managed by administrator Tina Steffen and functions at a 99 percent occupancy rate, accepting Medicare, Medicaid, and private pay. Residents stay here for an average of 330 days, creating a very stable living environment where long-term care makes up the core of the daily routine.

Clinical operations on the floor are anchored by 24-hour nursing coverage, with staff delivering an average of 4 hours and 11 minutes of direct care to each resident daily. Registered nurses, licensed practical nurses, and nurse aides coordinate an array of on-site medical resources, including laboratory work, physical therapies, X-ray services, podiatry, dentistry, and psychiatry, to minimize the need for external appointments. For day-to-day lifestyle, the campus provides tailored meals, specialized oxygen support, and an internal barber shop, while the surrounding neighborhood secures a high walkability score of 75 out of 100, meaning visiting guests can easily manage errands on foot.

State reports indicate that past regulatory inspections surfaced a few operational areas that needed adjustment, primarily centered around standard medical documentation and clinical paperwork practices. The administrative staff uses these formal survey results to audit their internal records and update routine training protocols for the clinical team.

Families can touch base with the front desk to find out how to get placed on the waiting list, ask about the integrated diagnostic services, or plan an afternoon to tour the neighborhood and facility. The billing department is also available to help you look over financial paperwork and explain how Medicare or Medicaid structures apply to the monthly statements.

Facility Direct Line (641) 676-3414 oskaloosacarecenter@gmail.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 11m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +39% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	15m per day	▼ 66% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	47m per day	▲ 39% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 37m per day	▲ 3% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 24m per day	■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 49% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	10m per day	▼ 66% State avg: 30m per day · National avg: 28m per day

Capacity and availability

330 days

83-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 75 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

99%

Higher than the Iowa average: 75.4%

Occupied beds

82 / 83

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationApril 15, 2027

CountyMahaska

License Number621116

CMS Certification Number165589

Certification TypeFALSE

Oskaloosa Care Center is administered by Tina Steffen.

Rehabilitation Services

24-Hour Staffing

Email tinas@oskaloosacarecenter.com

Fax6416763415

Pets not allowed

Since 2020 · 6 years of data 63 deficiencies 24 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection November 20, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	63	27	This facility has 133% more total deficiencies than a typical Iowa assisted living residence (63 vs. IA avg 27).↑ 133% worse
Deficiencies per year Average deficiencies per year since 2020.	10.5	4.5	This facility has 133% more deficiencies per year than a typical Iowa assisted living residence (10.5 vs. IA avg 4.5).↑ 133% worse
Deficiencies per inspection Average deficiencies per inspection.	2.6	1.8	This facility has 44% more deficiencies per inspection than a typical Iowa assisted living residence (2.6 vs. IA avg 1.8).↑ 44% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	24	15	This facility has had 60% more total inspections than the Iowa average (24 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 60% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 17, 2025 inspection found 3 deficiencies including immediate jeopardy for failure to follow CPR orders and actual harm from delayed chest pain intervention.
November 13, 2025 revisit found one deficiency for inadequate bowel care and documentation affecting four residents.
November 20, 2025 second revisit cleared all deficiencies and confirmed substantial compliance with no complaints.

Show Inspection Reports

Inspections since 2023

Total health inspections 7

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

4.14

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 29 citations resulted from standard inspections; 15 of 29 resulted from complaint investigations; and 3 of 29 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

25 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Administration moderate citation Sep 17, 2025

Corrected

Administration moderate citation Sep 17, 2025

Corrected

Administration moderate citation Sep 17, 2025

Corrected

Infection Control moderate citation Sep 17, 2025

Corrected

Total staff 138

Employees 94

Contractors 44

Staff to resident ratio 1.70 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 42

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,616

Nursing staff breakdown

9.5 hours

9.4 hours

7.7 hours

Contractor staffing

5,890 contractor hours this quarter

Certified Nursing Assistant: 18 Licensed Practical Nurse: 11 Registered Nurse: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Medical Director: 1 Qualified Social Worker: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	68	18	86	19,884	92	100%	7.7
Licensed Practical Nurse	14	11	25	5,969	92	100%	9.4
Registered Nurse	4	3	7	1,414	92	100%	9.5
Dietitian	2	0	2	886	65	71%	7.2
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	2	0	2	500	63	68%	7.8
Mental Health Service Worker	3	0	3	434	57	62%	7
Speech Language Pathologist	0	1	1	248	43	47%	5.8
Physical Therapy Aide	0	2	2	182	40	43%	4.5
Respiratory Therapy Technician	0	3	3	128	25	27%	4.9
Feeding Assistant	0	1	1	115	32	35%	3.6
Medical Director	0	1	1	104	34	37%	3.1
Qualified Social Worker	0	1	1	80	19	21%	4.2
Occupational Therapy Aide	0	1	1	78	14	15%	5.6
Physical Therapy Assistant	0	1	1	56	17	18%	3.3
Occupational Therapy Assistant	0	1	1	28	3	3%	9.4

86 Certified Nursing Assistant

% of Days 100%

25 Licensed Practical Nurse

% of Days 100%

7 Registered Nurse

% of Days 100%

2 Dietitian

% of Days 71%

1 Administrator

% of Days 70%

2 Nurse Practitioner

% of Days 68%

3 Mental Health Service Worker

% of Days 62%

1 Speech Language Pathologist

% of Days 47%

2 Physical Therapy Aide

% of Days 43%

3 Respiratory Therapy Technician

% of Days 27%

1 Feeding Assistant

% of Days 35%

1 Medical Director

% of Days 37%

1 Qualified Social Worker

% of Days 21%

1 Occupational Therapy Aide

% of Days 15%

1 Physical Therapy Assistant

% of Days 18%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $30K

38% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $30K

State average $48K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 13.5

32% worse than State average

State average: 10.2

Functional decline score 26.1

21% worse than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 27.0%

44% worse than State average

State average: 18.8%

Walking Ability Worsened 27.4%

39% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 23.9%

9% better than State average

State average: 26.2%

Falls with Major Injury 3.6%

In line with State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.6%

42% better than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.5%

Lost Too Much Weight 6.8%

36% worse than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 3.9%

Antipsychotic Use 15.7%

18% better than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 97.5%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.36

8% better than State average

State average: 1.48

ED visits per 1,000 days 1.91

9% better than State average

State average: 2.09

Short-stay resident measures

Average State avg: 2.6

Pneumococcal Vaccine 97.6%

15% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 95.7%

30% better than State average

State average: 73.3%

Re-hospitalized after SNF stay 30.6%

44% worse than State average

State average: 21.3%

Emergency department visits 6.4%

51% better than State average

State average: 13.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 47.1%

12% worse than State average

State average: 53.7%

Successful return to home or community 34.7%

31% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 81

Medicare

11.1% of residents

Medicaid

55.6% of residents

Private pay or other

33.3% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Oskaloosa Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 90.3% ↑ 10.2pp vs 2022

Net Patient Income $319.9K ↑ ~$918.6K vs 2022

Payroll Costs $4.4M ↑ ~$1.4M vs 2022

Operating Margin 4.0% ↑ 13.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	93.3%	93.4%	97.0%	97.0%	97.4%	95.2%	92.4%	90.0%	91.6%	82.6%	66.7%	80.2%	90.3%
Beds	69	69	69	69	69	69	83	83	83	83	83	83	83
Net Income	$829,508	$708,723	$693,652	$669,601	$770,641	$842,401	$464,374	$693,545	$488,198	$2,001,512	$701,889	-$829,833	-$338,626
Gross Revenue	$4,415,796	$4,401,347	$4,444,114	$4,858,293	$5,074,227	$5,289,266	$5,333,715	$6,172,622	$6,021,903	$6,486,368	$5,036,961	$6,589,173	$8,422,027
Operating Expenses	$3,348,419	$3,417,499	$3,512,353	$3,737,116	$3,845,737	$3,907,826	$4,340,637	$4,818,388	$4,952,360	$5,031,111	$4,917,685	$6,727,525	$7,641,310
Net Patient Income	$859,403	$773,175	$743,265	$717,866	$823,341	$933,792	$552,042	$781,761	$685,780	$1,102,992	-$237,510	-$598,724	$319,876
Net Patient Revenue	$4,207,822	$4,190,674	$4,255,618	$4,454,982	$4,669,078	$4,841,618	$4,892,679	$5,600,149	$5,638,140	$6,134,103	$4,680,175	$6,128,801	$7,961,186
Payroll Costs	$1,800,905	$1,889,902	$1,976,922	$2,139,608	$2,261,614	$2,302,693	$2,513,208	$2,858,407	$3,010,427	$2,838,332	$2,522,685	$3,009,769	$4,378,012
Operating Margin %	20.4%	18.5%	17.5%	16.1%	17.6%	19.3%	11.3%	14.0%	12.2%	18.0%	-5.1%	-9.8%	4.0%
Medicare %	5.0%	5.3%	4.1%	5.6%	5.1%	6.0%	5.1%	5.1%	3.7%	7.5%	5.4%	7.7%	5.9%
Medicaid %	32.5%	43.4%	43.2%	45.7%	42.4%	40.2%	40.7%	37.9%	48.0%	50.8%	44.7%	41.1%	47.4%
Private %	62.4%	51.3%	52.7%	48.7%	52.5%	53.8%	54.2%	56.9%	48.3%	41.7%	49.9%	51.2%	46.7%
Net Patient Revenue/Day	$179	$178	$174	$182	$190	$201	$201	$205	$203	$244	$232	$252	$291
Cost/Day	$142	$145	$144	$153	$157	$163	$178	$177	$178	$200	$243	$277	$279
Avg Length of Stay	305.3 days	406.6 days	678.8 days	452.5 days	490.8 days	364.2 days	333.2 days	432.8 days	677.0 days	929.4 days	388.8 days	476.3 days	329.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$8.0M

Net patient income

$319.9K

For-profit Corporation

Net patient revenue

$8.0M

Net patient income

$319.9K

Other income

$63.5K

Payroll costs

$4.4M 55% of net patient revenue

Other operating costs

$3.3M

Total costs

$7.6M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 53%

Medicaid 13%

Coverage residents most often leave under.

Medicare 34%

Private pay 54%

Medicaid 12%

0.0 miles from city center Estimated distance in miles from Oskaloosa's city center to Oskaloosa Care Center's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
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Oskaloosa Care Center	NH SNF	Oskaloosa	-	83	-	75	-

Nursing Home Explorer

Is Oskaloosa Care Center in a walkable area?

Oskaloosa Care Center has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Oskaloosa Care Center?

According to IA state health department records, Oskaloosa Care Center's license number is 621116.

When does Oskaloosa Care Center's license expire?

According to IA state health department records, Oskaloosa Care Center's license expires on April 15, 2027.

What is the occupancy rate at Oskaloosa Care Center?

Oskaloosa Care Center's occupancy is 99%.

Are pets allowed at Oskaloosa Care Center?

No, Oskaloosa Care Center has a no-pet policy.

What is the best email address for Oskaloosa Care Center?

The team at Oskaloosa Care Center can be reached at tinas@oskaloosacarecenter.com.

Does Oskaloosa Care Center operate as a for-profit or non-profit?

Oskaloosa Care Center is registered as a for-profit in IA.

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Oskaloosa Care Center

Overview of Oskaloosa Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Oskaloosa Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

86 Certified Nursing Assistant

25 Licensed Practical Nurse

7 Registered Nurse

2 Dietitian

1 Administrator

2 Nurse Practitioner

3 Mental Health Service Worker

1 Speech Language Pathologist

2 Physical Therapy Aide

3 Respiratory Therapy Technician

1 Feeding Assistant

1 Medical Director

1 Qualified Social Worker

1 Occupational Therapy Aide

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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