Federal inspection record · CMS data as of October 1, 2026
Oskaloosa Care Center
605 Highway 432, Oskaloosa, IA · (641) 676-3414
- Certified beds
- 83
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 2008
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Oskaloosa Care Center carries 86.75 inspection points. That is fewer than 19% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure a qualified health professional conducts resident assessments.
- E
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care6E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
Administration3D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide training in compliance and ethics.
Nursing and Physician Services2E
- D
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service1E
- E
Ensure that residents are free from significant medication errors.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-07-30
12 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-06-19
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-08-01
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 33 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 86% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$45,354 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-17 | Fine | $45,354 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better | 98.3% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts better | 96.2% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 3.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts better | 1.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 5.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14 pts worse | 35.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 18.1% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts worse | 0.3% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.3 pts better | 12.9% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 14.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts better | 24.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 13.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 2.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts worse | 27.8% | 20.7% | 23.4% |
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Who owns and runs it
36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Oskaloosa Care Center Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Barbara S. Donohue, Revocable Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Barbara S. Donohue, Revocable Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
| Carlson, Kenneth | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Carlson, Kenneth | Corporate Director · Individual | 0% | 1 facilities |
| Carlson, Kenneth | Corporate Officer · Individual | 0% | 1 facilities |
| Carlson, Kenneth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carlson, Kenneth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Donohue, Barbara | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Donohue, Barbara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Donohue, Richard | Corporate Director · Individual | 0% | 1 facilities |
| Donohue, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Donohue, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Frymoyer, Cisley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Frymoyer, Cisley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kdcllc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mahaska County Hospital | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mahaska Drug Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Midwestone Bank | Adp Of The SNF · Organization | 0% | 3 facilities |
| North, David | Operational/Managerial Control · Individual | 0% | 2 facilities |
| North, David | Adp Of The SNF · Individual | 0% | 2 facilities |
| Oskaloosa Care Center Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| R&R Management LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Reitmeier, Ronald | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Reitmeier, Ronald | Corporate Director · Individual | 0% | 1 facilities |
| Reitmeier, Ronald | Corporate Officer · Individual | 0% | 1 facilities |
| Reitmeier, Ronald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reitmeier, Ronald | Adp Of The SNF · Individual | 0% | 1 facilities |
| Steffen, Tina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Steffen, Tina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Tdt Cpa's And Advisors Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Theobald, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Theobald, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Theobald, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Theobald, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Theobald, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3E
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of highly flammable decorations.
Egress2F
- E
Have exits that are accessible at all times.
- F
Have exits that are accessible at all times.
Emergency Preparedness1F
- F
Develop Emergency Preparedness policies and procedures.
Construction1E
- E
Install a two-hour-resistant firewall separation.
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Other homes nearby
-
Crystal Heights Care Center
Oskaloosa, IA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 4 min
- Fines
- $10,489
-
Northern Mahaska Specialty Care
Oskaloosa, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $39,033
-
The Cottages
Pella, IA · Wesleylife
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 13 min
- Fines
- $52,060