Occupancy rate
99%
In line with Iowa averageMix 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.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Oskaloosa Care Center
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Oskaloosa Care Center
Oskaloosa Care Center is dedicated to providing quality Nursing & Rehabilitation Services. The facility offers three meals a day, daily laundry, and housekeeping services, along with 24-hour nursing services. Additional services such as physical therapy and beauty services are available for extra charges.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
83
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
98.8%
Residents per day (avg)
78
Occupancy rate
98.8%
Residents per day (avg)
78
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Privately-owned community
Home revenue
$8.5M
Operating loss
-$338.6K
Privately-owned community
Home revenue
$8,485,549.00
Operating loss
$-338,626.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.1M
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Iowa averageOccupied beds
82 / 83
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyMahaska
License Number621116
CMS Certification Number165589
Certification TypeFALSE
Oskaloosa Care Center is administrated by Tina Steffen.
Rehabilitation Services
24-Hour Staffing
Email
[email protected]
Fax6416763415
Specific ProgramsNursing & Rehabilitation Services, Physical Therapy, Occupational Therapy, Speech Therapy, Podiatry, Dental, Laboratory, X-ray, Audiology, Psychiatry, Optometry, Beauty and Barber Services, Medications, Medical Supplies, Durable Medical Equipment, Oxygen
Food DescriptionThree meals a day and snacks provided and/or ordered according to Plan of Care.
Meals IncludedYes
Meals Per Day3
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
24 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
November 20, 2025
38 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Oskaloosa Care Center
The most recent inspection on November 20, 2025 found the facility in substantial compliance with all previously cited deficiencies corrected. Prior inspections showed a pattern of deficiencies related mainly to resident care, including inadequate bowel care, medication administration, infection control, and documentation issues. Several complaint investigations were substantiated over time, involving concerns such as lack of respectful treatment, improper supervision, falsification of records, and failure to follow CPR orders, with one immediate jeopardy finding related to CPR and catheter care that was later abated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made improvements recently, as indicated by the correction of deficiencies noted in the latest revisit.
Health Inspection History
Inspections
Total health inspections
7
Iowa average 4.9
Last Health inspection on Sep 2025
Total health citations
29
Iowa average 21.7
Citations per inspection
4.14
Iowa average 4.11
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
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
2 critical citations
2 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Oskaloosa Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Oskaloosa
83
90.3%
+20%
4.18
-3%
1
29
4.1
4
78
Barbara S. Donohue, Revocable Trust
$8.4M
$3.8M
45%
165589
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Oskaloosa Care Center
0.0 miles from city center
605 Highway 432, Oskaloosa, IA 52577
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
108
Employees
77
Contractors
31
Staff to resident ratio
1.33:1
33% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
41
Average shift
7.7 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
28,891
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
66
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
22.2%
6,416 contractor hours this quarter
Licensed Practical Nurse: 11
Certified Nursing Assistant: 10
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 1
Speech Language Pathologist: 1
Occupational Therapy Aide: 1
Physical Therapy Aide: 1
Medical Director: 1
Qualified Social Worker: 1
Feeding Assistant: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 56 | 10 | 66 | 17,535 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 11 | 11 | 22 | 6,270 | 91 | 100% | 10 |
| Registered Nurse | 4 | 0 | 4 | 1,133 | 91 | 100% | 7.8 |
| Dietitian | 2 | 0 | 2 | 903 | 67 | 74% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 537 | 64 | 70% | 6.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 343 | 62 | 68% | 5.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 332 | 71 | 78% | 4.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 184 | 52 | 57% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 158 | 44 | 48% | 3.5 |
| Qualified Social Worker | 0 | 1 | 1 | 149 | 38 | 42% | 3.9 |
| Medical Director | 0 | 1 | 1 | 105 | 33 | 36% | 3.2 |
| Feeding Assistant | 0 | 1 | 1 | 104 | 30 | 33% | 3.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 80 | 14 | 15% | 5.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 4 | 4% | 9.1 |
66 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
100%
2 Dietitian
% of Days
74%
2 Mental Health Service Worker
% of Days
70%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Physical Therapy Aide
% of Days
68%
1 Speech Language Pathologist
% of Days
78%
1 Respiratory Therapy Technician
% of Days
57%
2 Physical Therapy Assistant
% of Days
48%
1 Qualified Social Worker
% of Days
42%
1 Medical Director
% of Days
36%
1 Feeding Assistant
% of Days
33%
1 Occupational Therapy Aide
% of Days
15%
1 Occupational Therapy Assistant
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
81 residents
Residents by payment source
Medicare
9 residents (11.1%)
Medicaid
45 residents (55.6%)
Private pay or other
27 residents (33.3%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
32% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.1
21% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
44% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.4%
Percent of long-stay residents whose ability to move independently worsened
27.4%
39% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
9% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
42% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.8%
Percent of long-stay residents who lose too much weight
6.8%
36% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.7%
Percent of long-stay residents who received an antipsychotic medication
15.7%
18% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
15% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
30% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$30K
38% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$30K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2023
$30K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Oskaloosa Care Center based on CMS SNF Cost Reports.
Occupancy Rate
90.3%
↑ 10.2pp vs 2022
Net Income
-$338,626
↑ ~$491K vs 2022
Total Payroll
$5,766,471
↑ ~$720K vs 2022
Profit Margin
-4.0%
↑ 8.6pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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