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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 31st out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 34m per day | ▼ 23% 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.
| 37m per day | ▲ 9% 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.
| 3h 4m per day | ▲ 21% 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 38m per day | ▲ 9% 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.
| 3m per day | ▲ 50% 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.
| 24m per day | ▼ 20% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Ossian Care Center is administrated by Rachael Marshall.
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.
This scorecard compares key inspection, citation, 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
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 44 | 27 | This facility has 63% more total deficiencies than a typical Iowa nursing home (44 vs. IA avg 27).↑ 63% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 7.3 | 4.5 | This facility has 62% more deficiencies per year than a typical Iowa nursing home (7.3 vs. IA avg 4.5).↑ 62% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.9 | 1.8 | This facility has 61% more deficiencies per inspection than a typical Iowa nursing home (2.9 vs. IA avg 1.8).↑ 61% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 15 | This facility has total inspections in line with the Iowa average (15 vs. IA avg 15).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Oct 2025
Iowa average 21.7
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).
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% better than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
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.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,260 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 11 | 50 | 9,509 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 8 | 2 | 10 | 2,179 | 85 | 92% | 8.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,552 | 87 | 95% | 7.9 |
| Registered Nurse | 10 | 7 | 17 | 942 | 75 | 82% | 7.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 541 | 60 | 65% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 532 | 70 | 76% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 523 | 59 | 64% | 8.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 2 | 0 | 2 | 308 | 42 | 46% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 270 | 36 | 39% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 236 | 40 | 43% | 5.9 |
| Qualified Social Worker | 0 | 1 | 1 | 113 | 40 | 43% | 2.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 109 | 31 | 34% | 3.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 15 | 16% | 6.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 80 | 33 | 36% | 2.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 4 | 4% | 2 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.0%
31% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
11.0%
44% better than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
23% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.2%
In line with Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.6%
5% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
13.1%
162% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
3.4%
12% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.0%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.22
18% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.24
7% worse than Iowa averageIowa average: 2.09
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.
34% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
38Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Ossian Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #161 / 242Payroll — State benchmarkedThis home is ranked 161st out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Ossian's city center to Ossian Care Center's address, calculated via Google Maps.
Add your location
Ossian Care Center is located in Ossian, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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| Terrace Glen Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Marion (Flynn) | 40 | 94.7% | +26% | 4.48 | +20% | +4% | $12.2k | 14 | 4.7 | 4 | 39 | A | 14 | Abernathy Family Farms LLC | $9.5M | $4.5M | 47.9% | 165625 | ||||
| Maple Crest Manor |
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.
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| 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).
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| Ramsey Village Continuing Care |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Ossian Care Center has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, Ossian Care Center's license number is 960404.
Ossian Care Center's occupancy is 80%.
The team at Ossian Care Center can be reached at [email protected].
Rachael Marshall is the administrator of Ossian Care Center.
Ossian Care Center has 46 beds.
Ossian Care Center is located at 114 Fisher Avenue.
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