Oskaloosa Care Center
605 Highway 432 · Oskaloosa, IA · 52577 · 6416763414
83 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $67,324 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$67,324 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $67,324 |
Inspection citations (29 in the current record)
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Potential for harm · D April 15, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 15, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 15, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 10, 2026 · Pharmacy Service
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Immediate jeopardy · J September 17, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 18, 2025 · Quality of Life and Care
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Actual harm · G September 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected October 30, 2025 · Administration
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Potential for harm · D September 17, 2025 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected October 30, 2025 · Administration
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Potential for harm · D September 17, 2025 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected October 30, 2025 · Infection Control
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Potential for harm · D September 17, 2025 · found via complaint
Provide training in compliance and ethics.
Corrected October 30, 2025 · Administration
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Potential for harm · D June 19, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D June 19, 2025
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
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Potential for harm · D January 23, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 22, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025 · found via complaint
Ensure a qualified health professional conducts resident assessments.
Corrected February 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · E January 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 22, 2024 · Quality of Life and Care
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Potential for harm · E August 1, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 1, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 22, 2024 · Nursing and Physician Services
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Potential for harm · D January 10, 2024
Ensure each resident receives an accurate assessment.
Corrected February 8, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 17, 2025 | Fine | $67,324 |
| September 17, 2025 | Payment Denial | 34 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165589 · certified since September 4, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.