Oskaloosa Care Center in Oskaloosa, IA has a 1 out of 5 overall rating, with 1-star health inspections and 2-star staffing and quality scores. Reported nurse staffing is 3.66 hours per resident per day, below the federal benchmark of 4.1, and it has had $103,575 in fines in the last 24 months plus a recent federal penalty.
Last inspection: September 17, 2025Penalties, last 24 months: $103,575recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6596.
Staffing detail
Registered nurses
0.25
Licensed practical nurses
0.79
Nurse aides
2.62
Weekend nursing
3.39
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 100%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.6%18.3%Improving
Residents with a fall causing major injury
2.7%4.1%Worsening
Residents with pressure ulcers (bedsores)
2.6%1.4%Improving
Residents with a urinary tract infection
0%1.4%Worsening
Residents who lost too much weight
9.6%4.3%Improving
Residents who were physically restrained
0%1.4%Worsening
Residents needing more help with daily activities
26.9%22.8%Improving
Residents whose ability to walk got worse
35.1%24%Improving
Long-stay residents on antianxiety or sleep medication
39.2%36.1%Improving
Short-stay residents newly given an antipsychotic
—1.8%—
Residents with a long-term catheter
2.5%0%Improving
Residents with new or worsening incontinence
31.6%28.2%Improving
Residents with depressive symptoms
0%1.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $103,575 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $133,254 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 17, 2025
34 days
Federal fine
Sep 17, 2025
$103,575
Federal fine
May 17, 2023
$29,679
Operator & ownership
Ownership
For profit - Corporation
Occupancy
82.5 residents on an average day (99% of 83 beds)
Resident voice
Resident council
Medicare history
Certified for 17 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.