facebook tracking Osage Rehab and Health Care Center, Osage IA: CMS Ratings
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Osage Rehab and Health Care Center

All states › Iowa › Osage › Osage Rehab and Health Care Center

830 South Fifth Street Osage, IA 50461 · Mitchell County

(641) 732-5520

All 2 nursing homes in Osage, IA (2 take Medicaid)

Accepts Medicare Accepts Medicaid 46 certified beds For profit

CMS certification number 165173 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 44 citations in the last three years. CMS imposed 3 penalties, including $14,433 in fines, in that time.

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.

Nursing care per resident per day 3.79 hours
About the Iowa median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.78 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.41 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 70% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 85.7% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds46
Residents per day 25 About 55% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceApril 1992
Part of a chainCampbell Street Services
Legal business nameOPCO OSAGE IA LLC

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Complaint inspection · Deficient, Provider has date of correction (Apr 27, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Apr 27, 2026)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Complaint inspection · Deficient, Provider has date of correction (Apr 27, 2026)

February 11, 2026 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2026)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jan 16, 2026)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jan 16, 2026)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 16, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jan 16, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

DPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Complaint inspection · Deficient, Provider has date of correction (Jan 16, 2026)

DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Jan 16, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 16, 2026)

DDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (Jan 16, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jan 16, 2026)

June 11, 2025 · 1 citation · includes complaint inspection

DHelp the resident with transportation to and from laboratory services outside of the facility.

Potential for more than minimal harm · Administration Deficiencies · Tag F0774 · Complaint inspection · Deficient, Provider has date of correction (Jun 24, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2025)

DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2025)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2025)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2025)

November 14, 2024 · 6 citations · includes complaint inspection

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Dec 12, 2024)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Dec 12, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Complaint inspection · Deficient, Provider has date of correction (Dec 12, 2024)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0693 · Complaint inspection · Deficient, Provider has date of correction (Aug 20, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Aug 20, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Aug 20, 2024)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 · Complaint inspection · Deficient, Provider has date of correction (Apr 25, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 25, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Apr 25, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Sep 21, 2023)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Sep 21, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 21, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Sep 21, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 21, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Sep 21, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 21, 2023)

BEnsure each resident receives an accurate assessment.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 21, 2023)

BElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Sep 21, 2023)

Questions to ask on a tour of Osage Rehab and Health Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on December 22, 2025. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 70% a year. How many of the staff come from agencies?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. The home averages about 55% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 2/5
August 2026 1/5 1/5 2/5 2/5
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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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Faith Lutheran Home Osage · 0.4 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 50 beds · Medicaid
Good Samaritan - Saint Ansgar Saint Ansgar · 8.5 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 42 beds · Medicaid
Stacyville Community Nursing Home Stacyville · 10.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 34 beds · Medicaid
Nora Springs Care Center Nora Springs · 13.7 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 50 beds · Medicaid
Riceville Family Care and Therapy Center Riceville · 14.2 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 34 beds · Medicaid

More nursing homes near Osage Rehab and Health Care Center ›   All nursing homes in Osage ›

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Other Campbell Street Services nursing homes in Iowa

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.

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https://www.nursinghomesineachstate.com/iowa/osage/osage-rehab-and-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.