Nursing Care Index

Ossian Care Center

Ossian, Winneshiek County, Iowa · CCN 165576 · Non-profit (Corporation) · not part of a chain

CMS rates Ossian Care Center 2 of 5 overall as of August 2026. 46 certified beds, 37 residents a day on average. 19 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / — of 5

Staffing

Total nurse staffing4.62602 hours per resident per day
Registered nurses0.66309 hours per resident per day
Weekend total3.8101 hours per resident per day
Nursing staff turnover40.7% (registered nurses 50%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-07
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-05-07
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-01-22 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-13
2026-01-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-13
2026-01-22 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2026-01-22 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2026-01-22 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2026-01-22 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-10-20
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-02
2024-11-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-12-21
2024-11-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-21
2024-11-21 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-21
2024-11-21 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-21
2024-11-21 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-21
2024-11-21
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-21
2024-11-21 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-21
2023-10-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-11-12
2023-10-12
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-12
2023-10-12
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-12

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Bcg Holdings Inc.
Organization
adp of the snf2024-10-01
Blue Stone Therapy Inc.
Organization
adp of the snf2023-08-01
Brighton Consulting Group LLC
Organization
adp of the snf2024-10-01
Cattail Bcg LLC
Organization
adp of the snf2024-10-01
Cattail Consulting LLC
Organization
adp of the snf2022-09-30
Cattail Inc.
Organization
adp of the snf2024-10-01
Ecsi Inc.
Organization
adp of the snf2024-10-01
Hacker Nelson And Co PC
Organization
adp of the snf2012-03-01
Iowa Health Care Association
Organization
adp of the snf2024-10-01
Ossian Senior Hospice Incorporated
Organization
operational/managerial control2013-10-03
Bappe, Sarah
Individual
adp of the snf2021-11-01
Branum, Mark
Individual
adp of the snf2012-02-01
Marshall, Rachael
Individual
adp of the snf2025-10-24
Wenner, Paul
Individual
adp of the snf2025-10-24
Brincks, Mark
Individual
corporate director2016-11-14
Elsbernd, Melvin
Individual
corporate director1995-11-01
Lansing, Kenneth
Individual
corporate director1990-11-01
Sender, Mary
Individual
corporate director2016-11-14
Uhlenhake, Leanne
Individual
corporate director2025-01-20
Baumler, Karla
Individual
corporate officer2016-11-14
Bushman, Thomas
Individual
corporate officer1998-11-01
Elsbernd, Melvin
Individual
corporate officer1995-11-01
Monroe, Tami
Individual
corporate officer1989-11-01
Fosaaen, Randy
Individual
operational/managerial control2022-12-01
Jackson, Heather
Individual
operational/managerial control2022-10-26
Macario, Natalie
Individual
operational/managerial control2017-02-13
Manning, Amy
Individual
operational/managerial control2023-10-28
Marshall, Rachael
Individual
operational/managerial control2024-09-16
Wenner, Paul
Individual
operational/managerial control2024-09-16

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Winneshiek County.