Ossian Care Center
114 Fisher Street, Ossian, IA 52161 · Winneshiek County · (563) 532-9440
46 certified beds, about 37 residents a day · Non profit - Corporation · Medicare and Medicaid since 2006
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165576 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 19 health citations since October 2023 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 4.63 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
40.7% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
310/23
711/24
110/25
601/26
205/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
3E
2F
Potential for minimal harm
0A
0B
0C
May 7, 2026Complaint inspection · 2 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on personnel file review, policy review and staff interview, the facility failed to complete a thorough background check before hire for 1 of 3 staff sampled (Staff A). The facility reported a census of 42 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review and staff interview the facility failed to provide adequate supervision in the Chronic Confusion and Dementing Illness (CCDI) unit (a nursing facility unit designed to provide tailored care and a safe, home-like environment for individuals with advanced Alzheimer's disease or related dementias) to prevent a resident-to-resident altercation which resulted in two separate physical altercations and failed to provide adequate supervision to a resident that wandered into another residents room which placed a resident at risk of an altercation for 3 of 4 residents reviewed (Resident #2, #3, and #4). The facility identified a census of 42 residents.
January 22, 2026Standard inspection · 6 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to obtain informed consent prior to starting psychotropic medications that have black box warnings (the most serious safety warning used by the Food and Drug Administration (FDA) and requires the healthcare provider to have a comprehensive discussion with the resident about the risks, benefits, and alternatives for use) for 5 of 5 residents reviewed for psychotropic medications (Resident #33, #2, #14, #4, and #3). The facility reported a census of 37 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews and facility cleaning checklists, the facility failed to maintain sanitary practices by improperly storing clean dishes and maintaining a clean kitchen. The facility reported a census of 37 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, clinical record review, policy review and staff interview the facility failed to notify the physician/provider when holding cardiac medication according to physician ordered vital sign parameters for 1 of 1 residents reviewed for a change in condition (Resident #12). The facility identified a census of 37 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review, and staff interviews the facility failed to provide residents and family with adequate notification of financial responsibility when Medicare Part A services were scheduled to be discontinued for 1 of 3 residents reviewed (Resident #42.) The facility reported a census of 37 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to accurately code the use of restraints for 2 of 4 resident reviewed on the Minimum Data Set (MDS) Assessment (Resident #24 and #27). The facility identified a census of 37 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, clinical record review, staff interviews, and Manufacturer's Patient Information review, the facility failed to follow the Manufacturer's Patient Information for proper administration of an insulin pen for 1 of 1 resident sampled (Resident #9). The facility identified a census of 37 residents.
October 20, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff, Pharmacist, and Physician interview the facility failed to provide timely interventions and notification to the resident's Physician after a resident presented with a low blood pressure. was lethargic, drowsy, and had blood pressure of 63/36 millimeters of mercury (mmHg) (normal blood pressure is considered to be less than 120/80 millimeters of mercury (mmHg) for one of three residents reviewed for assessment and intervention (Resident #1). The facility reported a census of 40 residents.
November 21, 2024Standard inspection, Complaint inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, document review, manufacturer information, and staff interview the facility failed to have a proper system in place to ensure proper sanitation of all dishware. The facility identified a census of 37 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, Center for Disease Control and Prevention (CDC) Infection Control Guidance: Sudden Acute Respiratory Syndrome (SARS) COVID 2 Guidelines, COVID 19 Clinical Guidance Summary Review and staff interviews, the facility failed to follow CDC COVID 19 guidance and utilize personal protective equipment (PPE) to prevent the potential spread of COVID 19 affecting 7 of 10 resident in the CCDI (chronic confusion or dementing illness) unit (Resident #4, #10, #13, #25, #21, #36 and #38). The facility reported a census of 37 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to ensure 1 of 16 residents Advance Directive forms was signed by the resident and their Doctor in a reasonable amount of time upon admission to the facility (Resident #9). The facility reported a census of 37 residents.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to complete comprehensive Minimum Data Set (MDS) assessments resulting in failure to implement a comprehensive Care Plan for 2 of 4 residents reviewed (Resident #3 and #36). The facility reported a census of 37 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews the facility failed to ensure 1 of 1 residents Preadmission Screening and Resident Review (PASRR) reflected all current diagnoses related to mental health (Resident #3). The facility reported a census of 37 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to ensure 1 of 1 residents reviewed for falls with major injury fall interventions were in place at the time of a fall when a clip alarm to alert staff a resident was moving failed to be attached to a residents clothing (Resident #36). The facility reported a census of 37 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 record review, staff interviews, and policy review the facility failed to ensure antipsychotic medication (a class of drugs used to treat severe mental health disorders and psychotic symptoms) had appropriate diagnoses for use and create resident specific interventions and medication side effects for 1 of 1 residents reviewed (Resident #36). The facility also failed to obtain informed consent for use of psychotropic medications for 1 of 1 residents reviewed (Resident #36). The facility reported a census of 37 residents.
October 12, 2023Standard inspection, Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to properly label and date opened food prior to storage. The facility identified a census of 38 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility document review, and staff interview the facility failed to report an allegation of abuse in the required 2-hour time frame to the Iowa Department of Inspections, Appeals, and Licensing (DIAL). The facility reported a census of 38 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, facility document review, policy review, and staff interview the facility failed to complete a thorough investigation after an allegation of abuse. The facility reported a census of 38 residents.
Fire safety inspections
14 fire safety citations on file: 6 on January 22, 2026, 2 on November 21, 2024, 6 on October 12, 2023.
Every fire safety citation14 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F List the names and contact information of those in the facility.
- F Provide emergency officials' contact information.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Conduct testing and exercise requirements.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D 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) | 4.63 | 3.82 | 3.86 |
| Registered nurses | 0.66 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.37 | 3.42 |
| Nurse aides | 3.15 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 40.7% | 44.0% | 45.8% |
| Registered nurse turnover | 50.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 4.96 on weekdays and 3.81 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.20 in April to June 2025 to 4.63 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 | 4.63 | 0.66 | 4.96 | 3.81 | 3.5% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.35 | 0.57 | 4.58 | 3.76 | 3.9% | 0 of 92 | 38 |
| Jul to Sep 2025 | 4.23 | 0.56 | 4.41 | 3.78 | 2.1% | 0 of 92 | 39 |
| Apr to Jun 2025 | 4.20 | 0.71 | 4.43 | 3.64 | 1.2% | 0 of 91 | 40 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 20.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Ossian Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: OSSIAN SENIOR HOSPICE INCORPORATED.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Brincks, Mark | Corporate director | Individual | 11/14/2016 | |
| Elsbernd, Melvin | Corporate director | Individual | 11/01/1995 | |
| Lansing, Kenneth | Corporate director | Individual | 11/01/1990 | |
| Sender, Mary | Corporate director | Individual | 11/14/2016 | |
| Uhlenhake, Leanne | Corporate director | Individual | 01/20/2025 | |
| Baumler, Karla | Corporate officer | Individual | 11/14/2016 | |
| Bushman, Thomas | Corporate officer | Individual | 11/01/1998 | |
| Elsbernd, Melvin | Corporate officer | Individual | 11/01/1995 | |
| Monroe, Tami | Corporate officer | Individual | 11/01/1989 | |
| Ossian Senior Hospice Incorporated | Operational/managerial control | Organization | 10/03/2013 | |
| Fosaaen, Randy | Operational/managerial control | Individual | 12/01/2022 | |
| Jackson, Heather | Operational/managerial control | Individual | 10/26/2022 | |
| Macario, Natalie | Operational/managerial control | Individual | 02/13/2017 | |
| Manning, Amy | Operational/managerial control | Individual | 10/28/2023 | |
| Marshall, Rachael | Operational/managerial control | Individual | 09/16/2024 | |
| Wenner, Paul | Operational/managerial control | Individual | 09/16/2024 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 08/01/2023 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Consulting LLC | Adp of the SNF | Organization | 09/30/2022 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Hacker Nelson and Co PC | Adp of the SNF | Organization | 03/01/2012 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Bappe, Sarah | Adp of the SNF | Individual | 11/01/2021 | |
| Branum, Mark | Adp of the SNF | Individual | 02/01/2012 | |
| Marshall, Rachael | Adp of the SNF | Individual | 10/24/2025 | |
| Wenner, Paul | Adp of the SNF | Individual | 10/24/2025 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 22, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on May 7, 2026: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- 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 May 7, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on January 22, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Wellington Place Decorah, 10.6 mi · 4 of 5 stars · 3 citations
- The Highlands Decorah, 12.3 mi · 2 of 5 stars · 26 citations
- Good Samaritan - West Union West Union, 12.3 mi · 3 of 5 stars · 13 citations
- Good Samaritan - Waukon Waukon, 17 mi · 2 of 5 stars · 16 citations
- Northgate Care Center Waukon, 17.1 mi · 1 of 5 stars · 20 citations
- Maple Crest Manor Fayette, 21.2 mi · 3 of 5 stars · 9 citations
- Evans Senior Living Community Cresco, 24 mi · 5 of 5 stars · 1 citation
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 Ossian Care Center's Medicare star rating?
- CMS rates Ossian Care Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ossian Care Center get at its last inspection?
- 6 health deficiencies at the standard inspection on January 22, 2026. The Iowa average is 6.5.
- Has Ossian Care Center been fined?
- CMS lists no fines in the last three years.
- Does Ossian Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Ossian Care Center?
- CMS lists 29 owners and managers. Legal business name: OSSIAN SENIOR HOSPICE INCORPORATED.
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.