Occupancy rate
87%
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
Ossian Care Center
Ossian Health & Rehabilitation is a caring senior living community offering Assisted Living, Memory Care, and Skilled Nursing. It provides a personalized, resident-focused family approach to daily life that empowers residents to thrive. The community is committed to restoring residents to their highest potential through compassionate medical care and uplifting lifestyles.
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
46
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87%
Residents per day (avg)
40
Occupancy rate
87%
Residents per day (avg)
40
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
23 days
Private pay
48% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.0M
Operating loss
-$16.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,021,580.00
Operating loss
$-16,651.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
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.
$1.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.0M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
40 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Winneshiek
Additional licensing details
License number:
960404
CMS Certification Number:
165576
Certification type:
FALSE
Ownership & operating entity
Ossian Care Center is administrated by Rachael Marshall.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5635329441
Programs & Activities
Specific Programs
Assisted Living, Memory Care, Skilled Nursing, Rehabilitation Services
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.
15 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 3, 2025
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Ossian Care Center
The most recent inspection on December 3, 2025, found the facility in substantial compliance following a plan of correction related to a prior complaint investigation. Earlier inspections showed a pattern of deficiencies primarily involving quality of care issues such as timely physician notification and medication management, as well as documentation and infection control concerns. A substantiated complaint in October 2025 cited failure to provide timely interventions and communication regarding a resident’s low blood pressure and altered mental status. Prior complaint investigations were mostly unsubstantiated, and enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to be addressing deficiencies through plans of correction, with the most recent report indicating compliance after corrective measures.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
16
Iowa average 21.7
Citations per inspection
4
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 16 citations resulted from standard inspections; 2 of 16 resulted from complaint investigations; and 2 of 16 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 20, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 20, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 21, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 21, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 21, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 21, 2024
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.
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
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
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Ossian 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.
Ossian
46
82.0%
+9%
5.24
+22%
0
16
0
40
Ossian Senior Hospice Incorporated
$3,9M
$2,5M
64.1%
165576
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
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
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Ossian Care Center
Ossian, IA 521610098
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
85
Employees
63
Contractors
22
Staff to resident ratio
2.24:1
12% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
26
Average shift
7.5 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,672
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.7%
825 contractor hours this quarter
Registered Nurse: 6
Certified Nursing Assistant: 5
Licensed Practical Nurse: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 35 | 5 | 40 | 9,179 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 7 | 2 | 9 | 2,210 | 91 | 100% | 8.1 |
| Registered Nurse | 8 | 6 | 14 | 1,631 | 90 | 99% | 8.7 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,305 | 91 | 100% | 6.9 |
| Nurse Practitioner | 2 | 0 | 2 | 805 | 68 | 75% | 8.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 615 | 73 | 80% | 7.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 366 | 50 | 55% | 7.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 303 | 54 | 59% | 5.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 268 | 36 | 40% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 138 | 16 | 18% | 8.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 125 | 31 | 34% | 4 |
| Speech Language Pathologist | 0 | 1 | 1 | 99 | 40 | 44% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 80 | 14 | 15% | 5.7 |
| Qualified Social Worker | 0 | 2 | 2 | 23 | 14 | 15% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
40 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
99%
5 Medication Aide/Technician
% of Days
100%
2 Nurse Practitioner
% of Days
75%
2 Other Dietary Services Staff
% of Days
80%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
55%
2 Physical Therapy Assistant
% of Days
59%
1 Mental Health Service Worker
% of Days
40%
1 Clinical Nurse Specialist
% of Days
18%
2 Respiratory Therapy Technician
% of Days
34%
1 Speech Language Pathologist
% of Days
44%
1 Occupational Therapy Aide
% of Days
15%
2 Qualified Social Worker
% of Days
15%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
38 residents
Residents by payment source
Medicaid
9 residents (23.7%)
Private pay or other
29 residents (76.3%)
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.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
11% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
48% better 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
13.0%
Percent of long-stay residents whose need for help with daily activities has increased
13.0%
31% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.0%
Percent of long-stay residents whose ability to move independently worsened
11.0%
44% better 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
10.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.0%
62% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
23% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
In line with Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.6%
Percent of long-stay residents with a urinary tract infection
2.6%
5% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
13.1%
Percent of long-stay residents who lose too much weight
13.1%
162% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.4%
Percent of long-stay residents who have depressive symptoms
3.4%
12% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.0%
Percent of long-stay residents who received an antipsychotic medication
19.0%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Ossian Care Center based on CMS SNF Cost Reports.
Occupancy Rate
82.0%
↑ 8.3pp vs 2022
Net Income
-$16,651
↑ ~$397K vs 2022
Total Payroll
$2,922,097
↑ ~$121K vs 2022
Profit Margin
-0.4%
↑ 13.5pp vs 2022
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Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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