Nursing Care Index

Oskaloosa Care Center

Oskaloosa, Mahaska County, Iowa · CCN 165589 · For-profit (Corporation) · not part of a chain

CMS rates Oskaloosa Care Center 1 of 5 overall as of August 2026. 83 certified beds, 80 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $45,354.

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★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 1 of 5

Staffing

Total nurse staffing3.65866 hours per resident per day
Registered nurses0.30644 hours per resident per day
Weekend total3.31041 hours per resident per day
Nursing staff turnover62.6% (registered nurses 100%)
Administrators who left0

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
2026-06-11
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-06
2026-06-11
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-06
2026-06-11
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
2026-07-06
2026-04-15
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-10
2026-04-15
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-10
2026-04-15
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
2026-05-10
2026-04-15
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
2026-05-10
2025-11-13
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
2025-11-20
2025-09-17
complaint survey
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · tag F0678
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-09-29
2025-09-17
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-09-29
2025-09-17
complaint survey
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · tag F0940
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-29
2025-09-17
complaint survey
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · tag F0944
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-29
2025-09-17
complaint survey
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · tag F0945
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-29
2025-09-17
complaint survey
Provide training in compliance and ethics.
Administration Deficiencies · tag F0946
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-29
2025-06-19 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
2025-06-26
2025-06-19 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-26
2025-06-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-26
2025-06-19 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-26
2025-06-19 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-26
2025-01-23
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-22
2025-01-23
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-22
2025-01-23
complaint survey
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
2025-02-22
2025-01-23
complaint survey
Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning Deficiencies · tag F0642
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-22
2025-01-23
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
2025-02-22
2024-08-01
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Past Non-Compliance
2024-08-01
2024-08-01
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-22
2024-08-01 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
2024-08-22
2024-08-01 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-22
2024-01-10 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
2024-02-08
2024-01-10
complaint survey
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-08
2024-01-10 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-08
2024-01-10 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
2024-02-08
2024-01-10 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-08

Fines and payment denials

DatePenaltyAmount
2025-09-17Fine$45,354

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
Oskaloosa Care Center Inc.
Organization
5% or greater direct ownership interest100%2008-05-19
Barbara S. Donohue, Revocable Trust
Organization
5% or greater indirect ownership interest2016-03-22
Barbara S. Donohue, Revocable Trust
Organization
adp of the snf2016-03-22
Kdcllc
Organization
adp of the snf2008-05-19
Mahaska County Hospital
Organization
adp of the snf2008-05-19
Mahaska Drug Inc.
Organization
adp of the snf2008-05-19
Midwestone Bank
Organization
adp of the snf2008-05-19
Oskaloosa Care Center Inc.
Organization
adp of the snf2008-05-19
R&R Management LLC
Organization
adp of the snf2008-05-19
Tdt Cpa's And Advisors PC
Organization
adp of the snf2008-05-19
Carlson, Kenneth
Individual
5% or greater indirect ownership interest2008-05-19
Donohue, Barbara
Individual
5% or greater indirect ownership interest2016-03-22
Reitmeier, Ronald
Individual
5% or greater indirect ownership interest2008-05-19
Theobald, Michael
Individual
5% or greater indirect ownership interest2008-05-19
Carlson, Kenneth
Individual
adp of the snf2008-05-19
Donohue, Barbara
Individual
adp of the snf2016-03-22
Donohue, Richard
Individual
adp of the snf2008-05-19
Frymoyer, Cisley
Individual
adp of the snf2025-01-28
North, David
Individual
adp of the snf2008-05-19
Reitmeier, Ronald
Individual
adp of the snf2008-05-19
Steffen, Tina
Individual
adp of the snf2008-02-01
Theobald, Michael
Individual
adp of the snf2008-05-19
Carlson, Kenneth
Individual
corporate director2008-05-19
Donohue, Richard
Individual
corporate director2008-05-19
Reitmeier, Ronald
Individual
corporate director2008-05-19
Theobald, Michael
Individual
corporate director2008-05-19
Carlson, Kenneth
Individual
corporate officer2008-05-19
Reitmeier, Ronald
Individual
corporate officer2008-05-19
Theobald, Michael
Individual
corporate officer2008-05-16
Carlson, Kenneth
Individual
operational/managerial control2008-05-19
Donohue, Richard
Individual
operational/managerial control2008-05-19
Frymoyer, Cisley
Individual
operational/managerial control2025-01-28
North, David
Individual
operational/managerial control2008-05-19
Reitmeier, Ronald
Individual
operational/managerial control2008-05-19
Steffen, Tina
Individual
operational/managerial control2008-02-01
Theobald, Michael
Individual
operational/managerial control2008-05-19

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 Mahaska County.