Ossian Care Center

Ossian Care Center is a Nursing Home in Iowa

Ossian Care Center is a Nursing Home in Iowa

Ossian Care Center

Ossian, IA 521610098 View Map

Ossian Care Center is a Nursing Home in Iowa

Ossian Care Center is a Nursing Home in Iowa

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Overview of 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.
(563) 532-9440

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.24/day Iowa avg: 4.30/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Iowa avg: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Iowa avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Iowa avg: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 82%
Residents per day (avg) 40
Occupancy rate
82%
Residents per day (avg)
40

Who this home usually serves

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.

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

Proprietary home
Corporation
Home revenue
$4.0M
Operating loss
-$16.7K
Proprietary home Corporation
Home revenue
$4,021,580.00
Operating loss
$-16,651.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
61.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
Total costs $4.0M
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy Rate
87%
Occupied Beds
40 of 46
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Free Standing NF/SNF

Additional licensing details

License number: 960404
CMS Certification Number: 165576
Certification type: FALSE
County: Winneshiek

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

Assisted Living
Memory Care
Skilled Nursing
Rehabilitation

Contact Information

Fax: 5635329441

Amenities & Lifestyle

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

Latest inspection

Date:December 3, 2025

25 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4/5
4.7098
4/5
5/5
1/5
-
4
-
+15%
+10%
+30%
Accura HealthCare of Carlisle
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
4/5
5.8515
3/5
5/5
4/5
-
17
2
-40%
+36%
+7%
Ossian Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 521610098
46
No
OSSIAN SENIOR HOSPICE INCORPORATED
82.0%
$3,878,226.00
$2,484,248.00
64.1%
39.90
4/5
5.2434
3/5
5/5
3/5
-
16
-
+43%
+22%
+9%
Accura Healthcare of Spirit Lake
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
1/5
4.2922
1/5
4/5
3/5
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
1/5
5.1665
1/5
4/5
1/5
4
39
4
-33%
+20%
-7%

Places of interest near Ossian Care Center

Address Ossian, IA 521610098

Address Ossian, IA 521610098

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

85
Total Staff
63
Employees
22
Contractors
17,672
Total Hours (Quarter)
26
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse148.7 Yes
Licensed Practical Nurse98.1 Yes
Certified Nursing Assistant407.5 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
68 staff
7.7hs shift avg
Physicians & Practitioners
3 staff
8.1hs shift avg
Therapy Services
7 staff
4.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
1.6hs shift avg
Dietary Services
3 staff
7.2hs shift avg
Other Services
1 staff
7.5hs shift avg
Contractor Analysis
4.7%
of total hours from contractors
825 contractor hours this quarter
Certified Nursing Assistant: 5 Licensed Practical Nurse: 2 Registered Nurse: 6 Speech Language Pathologist: 1 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant355409,17991100%7.5
Licensed Practical Nurse7292,21091100%8.1
Registered Nurse86141,6319099%8.7
Medication Aide/Technician5051,30591100%6.9
Nurse Practitioner2028056875%8.1
Other Dietary Services Staff2026157380%7.1
Administrator1015126470%8
Dietitian1013665055%7.3
Physical Therapy Assistant0223035459%5.6
Mental Health Service Worker1012683640%7.5
Clinical Nurse Specialist1011381618%8.6
Respiratory Therapy Technician0221253134%4
Speech Language Pathologist011994044%2.5
Occupational Therapy Aide011801415%5.7
Qualified Social Worker022231415%1.6
Occupational Therapy Assistant0111533%5

Health Inspection History

Total Health inspections 4
18% below Iowa average
Iowa average: 4.9

Last Health inspection on Oct 2025

Total Health citations 16
26% below Iowa average
Iowa average: 21.7

4 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 14 citations
Complaint investigations 4 citations
Breakdown of citations
Critical Health citations 0
100% below Iowa average
Iowa average: 0.6
Serious Health citations 0
100% below Iowa average
Iowa average: 0.9
Moderate Health citations 16

Minor Health citations 0
Citations history (last 3 years)
Quality of Care moderate citation Oct 20, 2025
Corrected

Infection Control moderate citation Nov 21, 2024
Corrected

Nutrition moderate citation Nov 21, 2024
Corrected

Pharmacy moderate citation Nov 21, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Resident Census by Payment Source
38 Total Residents
Medicaid 9 (23.7%)
Private Pay/Other 29 (76.3%)
Specialized Care Beds
10 Total Specialty Beds
21.7% of Bed Capacity
10
Alzheimer's / Dementia Beds
21.7%

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 9.2
11% better than Iowa average
Iowa average: 10.2
Functional decline score 11.3
48% better than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 13.0%
31% below Iowa average.

Walking Ability Worsened 11.0%
44% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 10.0%
62% below Iowa average.
Safety & clinical stability

Falls with Major Injury 4.4%
23% above Iowa average.

High Risk Residents with Pressure Ulcers 4.2%
3% below Iowa average.

Urinary Tract Infection 2.6%
5% above Iowa average.
Emotional & behavioral wellbeing

Depressive Symptoms 3.4%
12% below Iowa average.

Antipsychotic Use 19.0%
0% below Iowa average.
Preventive care

Pneumococcal Vaccine 99.4%
5% above Iowa average.

Influenza Vaccine 97.7%
3% above Iowa average.
Nutrition & physical health

Lost Too Much Weight 13.1%
162% above Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 100.0%

18% better than Iowa average

Guides for Better Senior Living

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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