Osage, IA

Faith Lutheran Home

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

914 Davidson Drive, Osage, IA

(641) 732-5511

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

37

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2002-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.73

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.16

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.77

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

4.41

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,778

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

47.80

Composite VBP score used to determine payment impact.

Payment multiplier

1.0014

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.19

Performance 6.88% · Measure score 3.19 · Achievement 3.19 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.71

Baseline 39.53% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0

Adjusted total nurse staffing

6.44

Baseline 4.53 hours · Performance 4.91 hours · Measure score 6.44 · Achievement 6.44 · Improvement 2.55

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.49%
10.72%
1.2 pts better
No Different than the National Rate · Eligible stays 55 · Observed rate 1.82% · Lower 95% interval 6.56%
Discharge to community 52.26%
50.57%
1.7 pts better
No Different than the National Rate · Eligible stays 50 · Observed rate 56% · Lower 95% interval 41.81%
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 31 · Denominator 31
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 31
Discharge self-care score 56.67%
53.69%
3 pts better
Numerator 17 · Denominator 30
Discharge mobility score 56.67%
50.94%
5.7 pts better
Numerator 17 · Denominator 30
Pressure ulcers or injuries, new or worsened 3.23%
2.29%
0.9 pts worse
Numerator 1 · Denominator 31 · Adjusted rate 4.65%
Healthcare-associated infections requiring hospitalization 6.88%
7.12%
0.2 pts better
No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage 37.61%
8.2%
29.4 pts better
Numerator 44 · Denominator 117
Staff flu vaccination coverage 53.78%
42%
11.8 pts better
Numerator 64 · Denominator 119
Discharge function score 56.67%
56.45%
0.2 pts better
Numerator 17 · Denominator 30
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.5
1.5
1 pts better
1.9
1.4 pts better
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
2.1
0.8 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
94.0%
3.3 pts better
93.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.2% · Q3 94.6% · Q4 100.0% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
3.7%
2.3 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 2.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.3%
4.0%
0.3 pts worse
11.4%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 5.9% · Q4 2.9% · 4Q avg 4.3%
Percentage of long-stay residents who lose too much weight 10.9%
4.9%
6 pts worse
5.4%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 14.7% · Q3 12.5% · Q4 15.2% · 4Q avg 10.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.6%
20.6%
13 pts worse
19.6%
14 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 32.4% · Q3 31.2% · Q4 33.3% · 4Q avg 33.6%
Percentage of long-stay residents who received an antipsychotic medication 26.7%
19.8%
6.9 pts worse
16.7%
10 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 31.0% · Q3 25.0% · Q4 20.0% · 4Q avg 26.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 19.1%
18.5%
0.6 pts worse
16.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 17.6% · Q3 13.6% · Q4 32.2% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 30.7%
18.3%
12.4 pts worse
14.9%
15.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 30.0% · Q3 13.3% · Q4 46.9% · 4Q avg 30.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9%
1.7%
1.2 pts worse
1.0%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.4% · Q3 3.0% · Q4 3.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
2.5%
0.4 pts better
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.7% · Q4 2.9% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.7%
26.0%
5.3 pts better
19.8%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 27.7% · Q3 18.6% · Q4 16.0% · 4Q avg 20.7%
Percentage of long-stay residents with pressure ulcers 2.6%
4.3%
1.7 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.2% · Q4 7.7% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.3%
84.3%
8 pts better
81.7%
10.6 pts better
Short Stay · 2024Q4-2025Q3 · Q2 87.5% · Q3 95.5% · 4Q avg 92.3%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 45.5%
73.3%
27.8 pts worse
79.7%
34.2 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-16 · Fire 2025-07-16

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-09-05 · Fire 2024-09-05

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-05-16 · Fire 2024-05-16

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-15

E · Potential for more than minimal harm 2025-07-16

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-08-15

E · Potential for more than minimal harm 2024-05-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-24

E · Potential for more than minimal harm 2024-05-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-22

D · Potential for more than minimal harm 2024-05-16

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-16

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-08-14

D · Potential for more than minimal harm 2025-07-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-14

Penalties and ownership

What sits behind the stars

Ownership

Faith Lutheran Home

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2017-02-03
Blake, Bonnie

Corporate Director · Individual

0% 1 facilities 2021-03-23
Bodtke, Paul

Corporate Director · Individual

0% 1 facilities 2016-04-11
Farmer, Kelci

Corporate Director · Individual

0% 1 facilities 2019-03-01
Halbach, Scott

W-2 Managing Employee · Individual

0% 1 facilities 2021-03-24
Klemesrud, Nancy

Corporate Director · Individual

0% 1 facilities 2016-04-11
Moody, Jim

Corporate Director · Individual

0% 1 facilities 2016-04-11
Moody, Jim

Corporate Officer · Individual

0% 1 facilities 2016-04-11
Penney, Mark

Corporate Director · Individual

0% 1 facilities 2019-03-01
Steward, Henry

Corporate Director · Individual

0% 1 facilities 2019-03-01
Tabbert, Dale

Corporate Director · Individual

0% 1 facilities 2016-04-11
Tabbert, Dale

Corporate Officer · Individual

0% 1 facilities 2016-04-11
Troge, Leanna

Corporate Director · Individual

0% 1 facilities 2016-04-11
Troge, Leanna

Corporate Officer · Individual

0% 1 facilities 2016-04-11
Walk, Violet

Corporate Director · Individual

0% 1 facilities 2019-03-01

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Staffing
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Fines
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Staffing
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Fines
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