The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Nursing home report
Southern Hills Specialty Care
Osceola, IA · Medicare-certified · 90 beds
Needs attention
Non-profitChain member
3 of 5 overall
Southern Hills Specialty Care in Osceola, IA has a 3 out of 5 star overall rating, with 3-star ratings across health inspections, staffing, and quality measures. Reported nursing staffing is 3.40 hours per resident per day, below the federal benchmark of 4.1, and the facility has $36,865 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3998 hrs/resident/day
Quality measures
Last inspection: August 21, 2025Penalties, last 24 months: $36,865recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3998.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.18
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 53%
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
26%28.6%Worsening
Residents with a fall causing major injury
6%0%Improving
Residents with pressure ulcers (bedsores)
1.3%1.1%No change
Residents with a urinary tract infection
1.2%2.4%Worsening
Residents who lost too much weight
1.5%3.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.7%12.9%No change
Residents whose ability to walk got worse
19.7%19%Improving
Long-stay residents on antianxiety or sleep medication
23.9%15.4%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
33.3%25.1%Improving
Residents with depressive symptoms
0%0%No change
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
—96.6%—
Long-stay residents given the pneumonia vaccine
97.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—81.5%—
Short-stay residents given the pneumonia vaccine
82.1%95.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
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 August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $36,865 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $36,865 in total fines.
- $36,865
Federal fine
Aug 18, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 84.2 residents on an average day (94% of 90 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.