All states › Iowa › Osage › Osage Rehab and Health Care Center
830 South Fifth Street Osage, IA 50461 · Mitchell County
All 2 nursing homes in Osage, IA (2 take Medicaid)
CMS certification number 165173 · See this home on Medicare Care Compare
Is Osage Rehab and Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Osage Rehab and Health Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.79 hours per resident per day at Osage Rehab and Health Care Center, about the same as the Iowa median of 3.76 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.41 hours, 10% below its all-week average. 70% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Osage Rehab and Health Care Center: Medicare and Medicaid
Osage Rehab and Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 22, 2025 and found 8 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 44 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 44 citations at Osage Rehab and Health Care Center across 10 inspection dates, 25 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 17, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (15) and quality of life and care (8). The most serious was cited under the CMS rule to "ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube" (tag F0693, level J, July 17, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 2, 2026 · 3 citations · includes complaint inspection
DEnsure residents have reasonable access to and privacy in their use of communication methods.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
February 11, 2026 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
December 22, 2025 · 12 citations · includes complaint inspection
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DPost nurse staffing information every day.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DProvide and implement an infection prevention and control program.
DDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
June 11, 2025 · 1 citation · includes complaint inspection
DHelp the resident with transportation to and from laboratory services outside of the facility.
April 8, 2025 · 2 citations · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
February 28, 2025 · 4 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
November 14, 2024 · 6 citations · includes complaint inspection
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
July 17, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 9, 2024 · 3 citations · includes complaint inspection
FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
August 30, 2023 · 9 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
BEnsure each resident receives an accurate assessment.
BElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Osage Rehab and Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on July 17, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 22, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 70% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $14,433 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 22, 2025 | Payment Denial | 9 days of payments denied |
| Feb 28, 2025 | Payment Denial | 34 days of payments denied |
| Jul 17, 2024 | Fine | $14,433 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
Add this rating badge to your websiteFree. Shows Osage Rehab and Health Care Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Osage Rehab and Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.9 mi
-
16.9 mi
Floyd County Medical Center Charles CityEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 48m for patients treated and sent home
-
22.1 mi
Mercy Medical Center-North Iowa Mason CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 13m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Osage Rehab and Health Care Center › All nursing homes in Osage ›
Compare Osage Rehab and Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Good Samaritan - Saint Ansgar · Saint Ansgar · 5 stars · 8.5 mi
- Faith Lutheran Home · Osage · 4 stars · 0.4 mi
Other Campbell Street Services nursing homes in Iowa
- Regency Park Nursing & Rehab Center of Carroll · Carroll · 5 stars
- University Park Nursing and Rehabilitation Center · Des Moines · 4 stars
- Regency Park Nursing & Rehab Center of Jefferson · Jefferson · 4 stars
- Denison Care Center · Denison · 3 stars
- Granger Nursing & Rehabilitation Center · Granger · 3 stars
- Pleasant Acres Care Center · Hull · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Campbell Street Services nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.