Parkview Care Center
2237 Highway 34, Fairfield, IA 52556 · Jefferson County · (641) 472-5022
70 certified beds, about 46 residents a day · For profit - Individual · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165306 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 8 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 32 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
29.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Osbycorp, an affiliated group of 2 nursing homes.
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.
1902/24
204/24
208/24
807/25
110/25
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
6E
2F
Potential for minimal harm
0A
0B
0C
October 9, 2025Complaint inspection · 1 citation
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to maintain an environment that was free from pests (houseflies) in resident rooms and the dining area. The facility reported a census of 48 residents.
July 3, 2025Standard inspection · 8 citations
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, staff interviews, and the facility policy, the facility failed to follow the menu for 1 of 1 meals observed and 2 of 2 residents sampled for a therapeutic diet (Resident #21 and Resident #36). The facility reported a census of 49 residents.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, resident and staff interviews, and the facility policy, the facility failed to provide a palatable vegetable for 1 of 1 meal observed. The facility reported a census of 49 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 observation, facility policy review and staff interviews, the facility failed to maintain a sanitary kitchen which included safe refrigerator temperatures, consist daily refrigerator temperature check documentation, target sanitization levels in the dishwasher, staff hand hygiene practices, and clean deep freeze equipment. The facility reported the census of 49 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 clinical record review, facility policy review, and staff interview, the facility failed to ensure resident code status were clear and consistent in the electronic health record as compared to the documentation kept in binder at the nurses desk for 1 of 24 residents (Resident #33) reviewed for advance directives. The facility reported a census of 49 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 clinical record review, facility policy review, and staff interview, the facility failed to notify the physician of a weight gain for 1 of 3 residents reviewed for nutrition (Resident #24). The facility reported a census of 49 residents.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to provide an ongoing program of activities for 1 of 1 residents reviewed for activities (Resident #24). The facility reported a census of 49 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, policy review, and staff interview, the facility failed to ensure medications and chemicals were secured and not accessible to 10 of 10 (which included Resident #11) cognitively impaired and independently mobile residents on the memory care unit. The facility reported a census of 49 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to offer an annual influenza vaccine for 2 of 5 residents (Residents #11 and #24) reviewed for immunization. The facility reported a census of 49 residents.
August 15, 2024Standard inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews the facility failed to ensure a residents clothing fit properly and in good repair as to provide personal privacy while in common areas of the facility for 1 of 12 (Resident #6) residents reviewed. The facility reported a census of 47 residents.
- D Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on document review, and staff interviews the facility failed to employ a Certified Dietary Manager to carry out the functions of the food and nutrition service. The facility reported a census of 47 residents.
April 22, 2024Complaint inspection · 2 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility record review, staff interviews, and hospital record review, the facility failed to ensure residents were appropriately assessed and provided interventions to maintain their optimal health and well being for 1 of 3 residents reviewed (Resident #1). The facility reported census was 44 residents.
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on resident and staff interviews, the facility failed to provide an effective rodent control program within the facility. The facility reported census was 44 residents.
February 19, 2024Standard inspection, Complaint inspection · 19 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on the clinical record review, staff interviews, and facility policy review, the facility failed to implement a Legion Water Management Program. The facility reported a census of 47 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, policy review, and staff interviews the facility failed to prepare foods under sanitary conditions for 1 of 2 days of kitchen observation. The facility reported a census of 47 residents.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to offer the influenza vaccine annually to 2 out of 5 residents reviewed; and failed to offer the pneumococcal vaccine at recommended times to 4 out of 5 residents reviewed for influenza and pneumococcal vaccinations (Resident #1, #2, #4, #24). The facility reported a census of 47 residents.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to honor a resident's food and beverage preferences for 1 of 16 residents reviewed during dining services (Resident #1). The facility reported a census of 47 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, staff interviews, and policy review the facility failed to notify a resident's responsible party and hospice provider in a timely manner when an injury occurred for 1 of 3 residents reviewed (Resident #46) for notification. The facility reported a census of 47 residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, policy review, facility document review, and staff interviews, the facility failed to ensure a resident was free from physical abuse for 1 of 2 residents reviewed for abuse (Resident #38). The facility reported a census of 47 residents.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to complete Minimum Data Set (MDS) assessments on time for 3 of 14 residents reviewed for MDS assessments (Resident #2, #29, and #41). The facility reported a census of 47 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) Assessment for a resident's (Preadmission Screening and Record Review) Level II PASRR for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 47 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interviews the facility failed to submit a Preadmission Screening and Resident Review (PASRR) related to a new diagnosis for 1 of 3 residents reviewed for PASRR level II screening (Resident #41). The facility reported a census of 47 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to revise the care plan for a resident with a significant weight loss and an opioid pain medication and didn't address an antipsychotic with a new diagnosis for 2 of 14 residents reviewed for care plans (Residents #34 and #41). The facility reported a census of 47 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interviews, clinical record review, and facility policy review, the facility failed to use professional standards by not cleaning the rubber seal of an insulin pen with an alcohol pad or priming the insulin pen prior to administration for 1 of 2 residents observed for insulin administration (Resident #7). The facility reported a census of 47 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review, policy review, resident interview and staff interviews, the facility failed to provide incontinence care for 1 resident (Resident #1) and nail care for 1 resident (Resident #28) for 6 residents reviewed for assistance with activities of daily living (ADLs). The facility reported a census of 47 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interviews, the facility failed to regularly assess a wound and notify the provider of changes in the wound, and failed to intervene in a timely manner after a critical lab result for 1 of 4 residents reviewed for a change in condition (Resident #21). The facility reported a census of 47 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, interviews, and the facility policy review, the facility failed to supervise a resident in their room while they sat in a shower chair which resulted in a fall from the shower chair for 1 of 4 residents reviewed for falls (Resident #2). The facility reported a census of 47 residents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility policy review the facility failed to address a resident weight loss in a timely manner and offer different options at meal times to encourage adequate nourishment for 1 of 2 residents reviewed for weight loss (Resident #34). The facility reported a census of 47 residents.
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to ensure a resident was seen by a physician every 60 days for 1 of 14 residents reviewed for physician's visits (Resident #45). The facility reported a census of 47 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review, the facility failed to administer a Risperidone injection when ordered, which resulted in a behavioral change with the resident for 1 of 8 residents reviewed for medication administration (Resident #4). The facility reported a census of 47 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to keep medication carts locked when not in use and staff not around the medication cart and not keeping medication storage rooms keys kept on their persons for 1 of 2 medication carts and 1 of 2 medication storage rooms reviewed. The facility reported a census of 47 residents.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on the clinical record review, staff interviews, and facility policy review, the facility failed to offer the COVID (Coronavirus disease) booster vaccination to 2 out 5 residents reviewed for COVID-19 vaccinations (Resident #2 and #4). The facility reported a census of 47 residents.
Fire safety inspections
12 fire safety citations on file: 2 on July 3, 2025, 4 on August 15, 2024, 6 on February 19, 2024.
Every fire safety citation12 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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) | not reported | 3.82 | 3.86 |
| Registered nurses | not reported | 0.74 | 0.69 |
| All nursing staff on weekends | not reported | 3.37 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 29.4% | 44.0% | 45.8% |
| Registered nurse turnover | 0.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 3.92 on weekdays and 3.43 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.78 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 | 3.78 | 0.72 | 3.92 | 3.43 | 0.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 3.66 | 0.68 | 3.82 | 3.27 | 0.0% | 0 of 92 | 47 |
| Jul to Sep 2025 | 3.27 | 0.59 | 3.41 | 2.91 | 0.0% | 0 of 92 | 49 |
| Apr to Jun 2025 | 3.23 | 0.62 | 3.38 | 2.87 | 0.0% | 0 of 91 | 50 |
| 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 | 16.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 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 | 8.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.7 | 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 | 2.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: PARKVIEW CARE CENTER INC. CMS links this home to Osbycorp, a group of 2 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Osby, Edmund | 5% or greater direct ownership interest | Individual | 100% | 11/25/1996 |
| Osby, Charlene | Corporate director | Individual | 11/04/2011 | |
| Osby Sertterh, Jacqueline | Corporate officer | Individual | 07/15/2014 | |
| Osby, Charlene | Corporate officer | Individual | 01/01/1997 | |
| Osby, Edmund | Corporate officer | Individual | 11/25/1996 | |
| Osby, Jennifer | Corporate officer | Individual | 01/01/2015 | |
| Flattery, Sarah | Operational/managerial control | Individual | 04/20/1998 | |
| Greiner, Michael | Operational/managerial control | Individual | 01/01/2021 | |
| Lisk, Brett | Operational/managerial control | Individual | 06/15/2023 | |
| Metcalf, Lisa | Operational/managerial control | Individual | 03/22/2022 | |
| Mikunda, Joseph | Operational/managerial control | Individual | 10/25/2024 | |
| Shepherd, October | Operational/managerial control | Individual | 02/17/2025 | |
| Stroda, Christine | Operational/managerial control | Individual | 03/31/2022 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 04/30/2023 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Wipfli LLP | Adp of the SNF | Organization | 08/18/2021 | |
| Flattery, Sarah | Adp of the SNF | Individual | 10/15/2025 | |
| Greiner, Michael | Adp of the SNF | Individual | 10/15/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on July 3, 2025: "Provide activities to meet all resident's needs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on July 3, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 3, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 19, 2024: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
Other nursing homes nearby
- Prestige Care Center of Fairfield Fairfield, 0.6 mi · 1 of 5 stars · 66 citations
- Parkview Home Wayland, 17.4 mi · 5 of 5 stars · 10 citations
- Country Lane Manor Keosauqua, 18.7 mi · 1 of 5 stars · 54 citations
- Park Place Mount Pleasant, 20.1 mi · 4 of 5 stars · 14 citations
- Woodland Health and Rehabilitation Mount Pleasant, 20.8 mi · 3 of 5 stars · 17 citations
- Savannah Heights Mount Pleasant, 21.7 mi · 5 of 5 stars · 16 citations
- Halcyon House Washington, 23.5 mi · 4 of 5 stars · 5 citations
- United Presbyterian Home Washington, 24.4 mi · 5 of 5 stars · 22 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 Parkview Care Center's Medicare star rating?
- CMS rates Parkview Care Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Parkview Care Center get at its last inspection?
- 8 health deficiencies at the standard inspection on July 3, 2025. The Iowa average is 6.5.
- Has Parkview Care Center been fined?
- CMS lists no fines in the last three years.
- Does Parkview 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 Parkview Care Center?
- CMS lists 22 owners and managers, and links the home to Osbycorp. Legal business name: PARKVIEW CARE CENTER INC.
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.