Osage Rehab and Health Care Center in Osage, IA has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2 stars for quality measures. It is below the federal staffing benchmark (3.28 vs 4.1 hours/resident/day), has had $14,433 in fines in the last 24 months, and has a recent federal penalty, with recent citations involving feeding tube care, pressure ulcers, and accident hazards.
Last inspection: February 11, 2026Penalties, last 24 months: $14,433recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2811.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
0.61
Nurse aides
2.07
Weekend nursing
2.99
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.6%Steady
Residents with a fall causing major injury
3%Improving
Residents with pressure ulcers (bedsores)
1%Worsening
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
7.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.1%Improving
Residents whose ability to walk got worse
22.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
41.2%Worsening
Short-stay residents newly given an antipsychotic
4%Steady
Residents with a long-term catheter
2.4%Steady
Residents with new or worsening incontinence
21%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
92.3%Steady
Long-stay residents given the pneumonia vaccine
96%Worsening
Short-stay residents given the pneumonia vaccine
70%Steady
What the inspectors found
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 943 — 42 CFR §483.95 — S/S: F
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
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $14,433 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $96,561 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Dec 22, 2025
9 days
Medicare/Medicaid payment denial
Feb 28, 2025
34 days
Federal fine
Jul 17, 2024
$14,433
Federal fine
Jun 13, 2023
$82,128
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CAMPBELL STREET SERVICES · 20 homes · 2.1 stars avg
Occupancy
24.6 residents on an average day (53% of 46 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.