Ossian Care Center

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Ossian, IA

CMS overall rating

114 Fisher Avenue, Ossian, Ia 521610098 View map

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

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

Overview of Ossian Care Center

A 46-bed skilled nursing and rehabilitation home in Ossian, Iowa, is Ossian Care Center. It caters to residents needing post-acute recovery, ongoing nursing care, or memory support. Ossian Senior Hospice Incorporated-owned and Rachael Marshall-administered, the facility accepts Medicare, Medicaid, and private pay, providing flexible ways for families to navigate care financing. It’s near full occupancy at 80 percent, and residents stay on average about 242 days, a span reflecting short-term rehab stays and longer-term residency.

The home is built around rehabilitation services, focusing on short-term rehab for occupants returning from hospital stays. Staffing is a visible strength: the facility provides 5 hours 15 minutes of total nursing care per resident day, meaningfully above many comparable homes. That staffing level breaks down to 3 hours 10 minutes of attentive certified nurse aide time per resident daily, along with contributions from licensed practical nurses and registered nurses. The higher aide hours per resident translate to more direct help with bathing, dressing, meals, and daily activities. Located in Ossian, the neighborhood scores 38 for walkability, meaning some errands are walkable, though most outings need a car. This layout is typical of rural Iowa communities and suits families who don’t rely on pedestrian access. Ossian Care Center offers assisted living, memory care, and skilled nursing, so it can serve residents across different care needs in one setting.

State inspectors have centered their attention on medication management, kitchen sanitation, and care coordination practices. The facility has worked to address such areas and maintain compliance with state standards.

For families touring the home, it’s worth asking how the facility coordinates care among its different care levels and what programs support each resident’s recovery or daily engagement. Plus, it fits families who don’t depend on pedestrian access.

Facility Direct Line (563) 532-9440

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

5h 15m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +25% 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.	34m per day	▼ 22% 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	▲ 10% 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 10m per day	▲ 25% 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 45m per day	▲ 12% 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.	2m per day	▼ 6% 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.	28m per day	▼ 8% State avg: 30m per day · National avg: 28m per day

Capacity and availability

242 days

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 38 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

80%

Higher than the Iowa average: 75.4%

Occupied beds

37 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationOctober 12, 2026

CountyWinneshiek

License Number960404

CMS Certification Number165576

Certification TypeFALSE

Ossian Care Center is administered by Rachael Marshall.

Rehabilitation Services

Short-Term Rehab

Email rachael.marshall@ossiancarecenter.com

Fax5635329441

Since 2020 · 6 years of data 44 deficiencies 15 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 December 3, 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.	44	27	This facility has 63% more total deficiencies than a typical Iowa assisted living residence (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 assisted living residence (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 assisted living residence (2.9 vs. IA avg 1.8).↑ 61% 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.	15	15	This facility has total inspections in line with the Iowa average (15 vs. IA avg 15).— At avg

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

January 22, 2026 inspection cited six deficiencies including failure to obtain informed consent for psychotropic medications and poor kitchen sanitation.
October 20, 2025 complaint investigation substantiated failure to provide timely interventions and physician notification for a resident with low blood pressure and altered mental status.
December 3, 2025 plan of correction accepted, certifying the facility in substantial compliance effective December 2, 2025.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average N/A

Last Health inspection on Oct 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 4 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

0 critical citations State average: N/A

0 serious citations State average: N/A

16 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 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

Total staff 100

Employees 71

Contractors 29

Staff to resident ratio 2.63 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26

Average shift 7.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,529

Nursing staff breakdown

7.4 hours

8.2 hours

7.5 hours

Contractor staffing

1,260 contractor hours this quarter

Certified Nursing Assistant: 11 Registered Nurse: 7 Licensed Practical Nurse: 2 Physical Therapy Assistant: 2 Occupational Therapy Assistant: 1 Medical Director: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1

Staff by category


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

50 Certified Nursing Assistant

% of Days 100%

10 Licensed Practical Nurse

% of Days 92%

6 Medication Aide/Technician

% of Days 95%

17 Registered Nurse

% of Days 82%

2 Other Dietary Services Staff

% of Days 65%

1 Nurse Practitioner

% of Days 76%

1 Clinical Nurse Specialist

% of Days 64%

1 Administrator

% of Days 70%

2 Dietitian

% of Days 46%

1 Mental Health Service Worker

% of Days 39%

2 Physical Therapy Assistant

% of Days 43%

1 Qualified Social Worker

% of Days 43%

1 Respiratory Therapy Technician

% of Days 34%

1 Occupational Therapy Aide

% of Days 16%

1 Speech Language Pathologist

% of Days 36%

1 Physical Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 4%

1 Medical Director

% of Days 3%

View All Staffing Data

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 9.2

11% better than State average

State average: 10.2

Functional decline score 11.3

48% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 13.0%

31% better than State average

State average: 18.8%

Walking Ability Worsened 11.0%

44% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 10.0%

62% better than State average

State average: 26.2%

Falls with Major Injury 4.4%

23% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 4.2%

In line with State average

State average: 4.4%

Urinary Tract Infection 2.6%

5% worse than State average

State average: 2.5%

Lost Too Much Weight 13.1%

162% worse than State average

State average: 5.0%

Depressive Symptoms 3.4%

12% better than State average

State average: 3.9%

Antipsychotic Use 19.0%

In line with State average

State average: 19.0%

Pneumococcal Vaccine 99.4%

5% better than State average

State average: 94.4%

Influenza Vaccine 97.7%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.22

18% better than State average

State average: 1.48

ED visits per 1,000 days 2.24

7% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

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

Total residents 38

Medicaid

23.7% of residents

Private pay or other

76.3% of residents

Financial Trends

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

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

Occupancy Rate 82.0% ↑ 8.3pp vs 2022

Net Patient Income -$88.9K ↑ ~$547.8K vs 2022

Payroll Costs $2.7M ↑ ~$549.3K vs 2022

Operating Margin -2.5% ↑ 19.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.4%	95.1%	97.6%	100.0%	97.8%	97.2%	97.5%	99.0%	94.5%	87.6%	77.3%	73.8%	82.0%
Beds	46	46	46	46	46	46	46	46	46	46	46	46	46
Net Income	$72,114	$75,910	$32,249	$22,565	-$47,419	-$10,087	-$49,646	$16,938	-$101,020	$274,707	-$587,548	-$413,213	-$16,651
Gross Revenue	$2,230,965	$2,349,949	$2,372,590	$2,528,792	$2,628,865	$2,730,867	$2,878,321	$2,873,099	$2,860,492	$2,925,971	$2,892,016	$2,971,961	$3,878,226
Operating Expenses	$2,109,478	$2,189,055	$2,286,703	$2,460,648	$2,610,709	$2,682,307	$2,863,846	$2,851,882	$2,936,307	$3,028,217	$3,564,272	$3,483,828	$3,679,799
Net Patient Income	$45,127	$50,127	-$6,677	-$13,385	-$84,222	-$52,117	-$97,668	-$28,727	-$123,765	-$170,107	-$790,031	-$636,709	-$88,906
Net Patient Revenue	$2,154,605	$2,239,182	$2,280,026	$2,447,263	$2,526,487	$2,630,190	$2,766,178	$2,823,155	$2,812,542	$2,858,110	$2,774,241	$2,847,119	$3,590,893
Payroll Costs	$1,488,228	$1,577,189	$1,648,013	$1,738,418	$1,925,847	$1,942,892	$2,077,869	$2,114,777	$2,134,451	$2,137,131	$1,760,605	$2,169,578	$2,718,873
Operating Margin %	2.1%	2.2%	-0.3%	-0.6%	-3.3%	-2.0%	-3.5%	-1.0%	-4.4%	-6.0%	-28.5%	-22.4%	-2.5%
Medicare %	1.7%	2.2%	1.9%	2.0%	3.8%	2.9%	3.6%	1.3%	1.4%	2.5%	5.5%	4.3%	3.1%
Medicaid %	46.1%	30.8%	29.1%	29.7%	22.4%	24.4%	28.5%	37.7%	36.3%	35.9%	29.4%	30.3%	30.5%
Private %	52.2%	67.0%	69.0%	68.4%	73.7%	72.7%	68.0%	61.1%	62.4%	61.5%	65.1%	65.4%	66.4%
Net Patient Revenue/Day	$133	$140	$139	$146	$154	$161	$169	$170	$177	$194	$214	$230	$261
Cost/Day	$130	$137	$140	$147	$159	$164	$175	$172	$185	$205	$275	$281	$267
Avg Length of Stay	265.4 days	266.7 days	341.4 days	364.9 days	241.4 days	201.9 days	212.5 days	353.5 days	337.6 days	301.1 days	276.0 days	233.6 days	241.6 days

Finances and operations

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

Net patient revenue

$3.6M

Net patient income

-$88.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.6M

Net patient income

-$88.9K

Other income

$143.4K

Payroll costs

$2.7M 75.7% of net patient revenue

Other operating costs

$960.9K

Total costs

$3.7M

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.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 48%

Medicaid 18%

Coverage residents most often leave under.

Medicare 33%

Private pay 44%

Medicaid 23%

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


Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Mount Carmel Bluffs	NH IL MC	Dubuque (South Switch Junction)	-	60	-	2	1 Bed / 2 Bed
Calvin Community	NH AL IL MC SNF	Des Moines (Beaverdale)	-	59	-	61	1 Bed
Thornton Heights Assisted Living	NH AL	Lansing (Main Street)	-	26	-	14	1 Bed / 2 Bed
Ossian Care Center	NH AL MC SNF	Ossian	-	46	-	38	-

Nursing Home Explorer

Is Ossian Care Center in a walkable area?

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.

What is the license number of Ossian Care Center?

According to IA state health department records, Ossian Care Center's license number is 960404.

When does Ossian Care Center's license expire?

According to IA state health department records, Ossian Care Center's license expires on October 12, 2026.

What is the occupancy rate at Ossian Care Center?

Ossian Care Center's occupancy is 80%.

What is the best email address for Ossian Care Center?

The team at Ossian Care Center can be reached at rachael.marshall@ossiancarecenter.com.

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

Ossian Care Center is registered as a non-profit in IA.

Who is the administrator of Ossian Care Center?

Rachael Marshall is the administrator of Ossian Care Center.

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Ossian Care Center

Overview of Ossian Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Contact Ossian 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 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

50 Certified Nursing Assistant

10 Licensed Practical Nurse

6 Medication Aide/Technician

17 Registered Nurse

2 Other Dietary Services Staff

1 Nurse Practitioner

1 Clinical Nurse Specialist

1 Administrator

2 Dietitian

1 Mental Health Service Worker

2 Physical Therapy Assistant

1 Qualified Social Worker

1 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Speech Language Pathologist

1 Physical Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

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

Places of interest near Ossian Care Center

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