Nursing homeActive
Osage Rehab and Health Care Center
830 South Fifth Street, Osage, IA 50461641732552046 certified beds · 26 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
44
● 2● 40● 2
Penalties · 3 yrs
$14,433
1 fine · 2 actions
Last survey
2026-04-02
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-02 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2026-02-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-22 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2025-06-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-28 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2024-11-14 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-07-17 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-04-09 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-08-30 | Standard | 270 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 165173-20260402-F576
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 165173-20260402-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 165173-20260402-F676
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 165173-20260211-F658
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F552
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F604
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F636
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F656
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F727
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F732
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 165173-20251222-F883
F774Help the resident with transportation to and from laboratory services outside of the facility.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-24Record 165173-20250611-F774
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 165173-20250408-F584
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 165173-20250408-F725
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-22Record 165173-20250228-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 165173-20250228-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 165173-20250228-F658
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 165173-20250228-F725
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F582
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F607
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F655
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 165173-20241114-F698
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-20Record 165173-20240717-F693
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 165173-20240717-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 165173-20240717-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 165173-20240409-F550
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 165173-20240409-F812
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-25Record 165173-20240409-F943
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F584
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F684
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 165173-20230830-F761
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-09-21Record 165173-20230830-F641
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity BPaperwork
Records
Pattern; potential for minimal harm.Corrected 2023-09-21Record 165173-20230830-F851
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-12-22 | Denial of payment for new admissions Payment denial for 9 days, from 2026-03-22 | — | CMS · Penalties |
| 2025-02-28 | Denial of payment for new admissions Payment denial for 34 days, from 2025-03-28 | — | CMS · Penalties |
| 2024-07-17 | Civil money penalty | $14,433 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.62
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.06
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.68
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover56%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover71%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 1.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 40.0% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Birchwood Healthcare Partners LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Street Ia 10 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holdco, Ia, 10, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 5v+ Seniors Healthcare Fund Gp, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| 5v+ Seniors Healthcare Fund, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acd Consolidated LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bear Creek Sraf Gp Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bear Creek Strategic Real Assets Fund LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell Street Ia 10 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Defranco Investment Co Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Iaga SNF Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iaga SNF Osage LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iaga SNF Portfolio LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nap Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Campbell Street Services — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Mitchell.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Faith Lutheran Home Osage | 0.4 mi | 2025-07-16 | 020 |
| Good Samaritan - Saint Ansgar Saint Ansgar | 8.5 mi | 2026-06-18 | 020 |
| Stacyville Community Nursing Home Stacyville | 10.9 mi | 2026-04-22 | 2322 |
| Nora Springs Care Center Nora Springs | 13.7 mi | 2026-04-14 | 050 |
| Chautauqua Guest Home #3 Charles City | 16.8 mi | 2025-07-03 | 150 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |