Osceola Senior Living
100 Cedar Lane, Sibley, IA 51249 · Osceola County · (712) 754-2568
46 certified beds, about 33 residents a day · For profit - Limited Liability company · Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 16E761 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 6 health citations since March 2025 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.98 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
April 2, 2026Standard inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to implement and practice appropriate infection control measures by not establishing or following a routine cleaning schedule for continuous positive airway pressure (CPAP) equipment for 1 of 13 residents reviewed (Resident #17). The facility also failed to provide staff with current CPAP machine settings. The facility reported a census of 32 residents.
March 13, 2025Standard inspection · 5 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interviews the facility failed to provide professional standards of care by not following physician orders to include the updated order and the correct medication end date in the electronic record for 2 out of 12 residents reviewed (Resident #3 and #31). The facility reported a census of 34 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and staff interview the facility failed to ensure a resident received Oxygen (O2) per the physician's order for 1 resident reviewed (Resident #25). The facility reported a census of 34 residents.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview the facility failed to address dementia/Alzheimer's Disease care on the care plan for 1 out of 5 residents reviewed (Resident #3). The facility reported a census of 34 residents.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview the facility failed to identify side effects, non-pharmalogical interventions to try prior to medication and specific targeted behaviors related to high risk medications in 2 out of 5 sampled residents reviewed (Resident #3 and #9). The facility reported a census of 34 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, facility policy and staff interview, the facility failed to use proper infection control practices when hanging catheter bags for 2 of 2 residents reviewed (Residents #19 and #23). The facility also failed to complete proper hand hygiene during urinary catheter care for 1 of 1 residents (Resident #23). The facility reported a total census of 34 residents.
Fire safety inspections
21 fire safety citations on file: 9 on April 2, 2026, 12 on March 13, 2025.
Every fire safety citation21 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Develop a communication plan.
- F Provide primary/alternate means for communication.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.98 | 3.82 | 3.86 |
| Registered nurses | 0.98 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.37 | 3.42 |
| Nurse aides | 2.67 | ||
| Licensed practical nurses | 0.33 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.95 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.14 on weekdays and 3.59 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.09 in July to September 2025 to 3.98 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.98 | 0.98 | 4.14 | 3.59 | 18.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 4.04 | 1.01 | 4.21 | 3.60 | 16.5% | 0 of 92 | 32 |
| Jul to Sep 2025 | 5.09 | 1.19 | 5.35 | 4.44 | 22.2% | 0 of 92 | 25 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.7 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 10.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.2 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 2, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Sibley Specialty Care Sibley, 1.2 mi · 5 of 5 stars · 11 citations
- Good Samaritan - George George, 13.5 mi · 5 of 5 stars · 21 citations
- The Shores of Worthington Worthington, 15.4 mi · 1 of 5 stars · 61 citations
- Parkview Manor Nursing Home Ellsworth, 15.7 mi · 1 of 5 stars · 21 citations
- Sanford Senior Care Sheldon Sheldon, 16.3 mi · 1 of 5 stars · 21 citations
- Prairie View Home Sanborn, 16.3 mi · 5 of 5 stars · 5 citations
- Community Memorial Health Center Hartley, 20.3 mi · 3 of 5 stars · 18 citations
- Lyon Specialty Care Rock Rapids, 21.7 mi · 4 of 5 stars · 18 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Osceola Senior Living's Medicare star rating?
- CMS rates Osceola Senior Living 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Osceola Senior Living get at its last inspection?
- 1 health deficiency at the standard inspection on April 2, 2026. The Iowa average is 6.5.
- Has Osceola Senior Living been fined?
- CMS lists no fines in the last three years.
- Does Osceola Senior Living accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Osceola Senior Living?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.