Ossian Care Center

Name: Ossian Care Center
Address: 114 Fisher Street, Ossian, IA, 52161, US
Telephone: 5635329440

114 Fisher Street, Ossian, IA 52161 · Winneshiek County · 46 certified beds · avg 37 residents/day · certified since Nov 9, 2006

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 7, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
May 7, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 22, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 22, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 20, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 21, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 21, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 21, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 12, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 12, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).

Year	Citations	Worst severity that year
2023	3	F
2024	7	F
2025	1	D
2026	8	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.41	4.37	3.95	top 9% in Iowa; top 8% in the U.S.
Registered Nurse hours	0.77	0.85	0.69	bottom 48% in Iowa; top 29% in the U.S.
Weekend total nurse staffing	4.45	3.86	3.50	top 17% in Iowa; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	bottom 36% in Iowa; top 48% in the U.S.
Total nursing staff turnover (%)	40.7	44.0	45.8	top 47% in Iowa; top 38% in the U.S.
RN turnover (%)	50.0	42.1	42.9	bottom 41% in Iowa; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.63, RN 0.66, weekend 3.81. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bappe, Sarah	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Baumler, Karla	Individual	Corporate Officer	NOT APPLICABLE	11/14/2016
BCG Holdings INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Blue Stone Therapy INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2023
Branum, Mark	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2012
Brighton Consulting Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Brincks, Mark	Individual	Corporate Director	NOT APPLICABLE	11/14/2016
Bushman, Thomas	Individual	Corporate Officer	NOT APPLICABLE	11/01/1998
Cattail BCG LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cattail Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/30/2022
Cattail INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Ecsi INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Elsbernd, Melvin	Individual	Corporate Director	NOT APPLICABLE	11/01/1995
Elsbernd, Melvin	Individual	Corporate Officer	NOT APPLICABLE	11/01/1995
Fosaaen, Randy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Hacker Nelson and Co PC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2012
Iowa Health Care Association	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Jackson, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	10/26/2022
Lansing, Kenneth	Individual	Corporate Director	NOT APPLICABLE	11/01/1990
Macario, Natalie	Individual	Operational/Managerial Control	NOT APPLICABLE	02/13/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you explain health changes and treatment options to residents and their families?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Wellington Place	10.6 mi	Decorah, IA	★★★☆☆	4/5
The Highlands	12.3 mi	Decorah, IA	★★☆☆☆	2/5
Good Samaritan - West Union	12.3 mi	West Union, IA	★★★☆☆	3/5
Good Samaritan - Waukon	17.0 mi	Waukon, IA	★★☆☆☆	2/5
Northgate Care Center	17.1 mi	Waukon, IA	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Ossian →

Facility data as of CMS processing date 2026-08-01. CCN 165576.

The Care File

Visit checklist — Ossian Care Center

114 Fisher Street, Ossian, IA 52161 · 5635329440

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165576 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)