The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
Oakwood Specialty Care
Albia, IA · Medicare-certified · 54 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
4 of 5 overall
Oakwood Specialty Care in Albia, IA has a 4 out of 5 star overall rating, with strong quality measures (5 stars) and average health inspection and staffing ratings (3 stars each). It reported 3.26 nurse hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations focused on staffing and food/menu standards.
Facility ratings
Health inspections
Staffing
3.2633 hrs/resident/day
Quality measures
Last inspection: September 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2633.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.03
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.8%26.9%Worsening
Residents with a fall causing major injury
4.3%0%Improving
Residents with pressure ulcers (bedsores)
1.5%4%Worsening
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
2.9%2.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%19.4%Worsening
Residents whose ability to walk got worse
—8.7%—
Long-stay residents on antianxiety or sleep medication
31.4%23.5%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27%15.5%Improving
Residents with depressive symptoms
11.4%12.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3 stars avg
- Occupancy
- 47.4 residents on an average day (88% of 54 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.