Nursing home
Ossian Care Center
114 Fisher Street, Ossian, IA 52161 · Map
Non profit - Corporation · 46 certified beds
Ossian Care Center is a Medicare-certified nursing home in Ossian, Iowa. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.23 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Jan 22, 2026 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Ossian Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.23 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.06 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 32.7% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Ossian Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 22, 2026 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jan 22, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jan 22, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
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 · Nov 21, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 114 Fisher Street
Ossian, IA 52161 - CMS certification #
- 165576
- Ownership
- Non profit - Corporation
- Certified beds
- 46
- Avg residents/day
- 39.3
- Provider type
- Medicare and Medicaid
- First certified
- 2006-11-09
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Ossian Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 15, 2020: complaint inspection, partial (health). Case closed Apr 30, 2021. 6 violations cited (4 serious, 2 other). Penalties: $23,151 proposed, $11,576 now. OSHA record. OSHA recorded the employer as Ossian Senior Hospice.
Details
- Serious: Personal protective equipment (general) (1910.132(a)). Penalty $8,096 proposed, $4,048 now. To be fixed by Apr 19, 2021.
- Serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $5,683 proposed, $2,842 now. To be fixed by Apr 19, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(a)(2)). Penalty $8,096 proposed, $4,048 now. To be fixed by Apr 19, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $0 proposed, $0 now. To be fixed by Apr 19, 2021.
- Other than serious: Recording work-related injuries and illnesses (1904.4(a)). Penalty $638 proposed, $319 now.
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(2)(i)). Penalty $638 proposed, $319 now. To be fixed by Apr 19, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Winnmed, Decorah. 10.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Wellington Place, Decorah. 10.6 miles away, straight line.
- Nearest home health agency office
- Winnmed Home Health, Decorah. 10.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Towncrest Pharmacy New Hampton. 28.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52161 as small town (small town high commuting).
- Dialysis within 15 miles
- Mayo Clinic Hosp-Dyls, Decorah, 10.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita West Union Dialysis Center, West Union, 11.0 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 52161.
Winnmed Hospice, office in Decorah, 10.2 miles away, straight line (CMS family survey rating 5 of 5 stars)
Gundersen Palmer Lutheran Hosp And Clinics-Hospice, office in West Union, 11.0 miles away, straight line
Howard County Community Hospice, office in Cresco, 23.3 miles away, straight line - Nearest geriatric medicine practice
- Gundersen Lutheran Medical Center Inc, La Crosse. 51.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Ossian Care Center a good nursing home?
CMS gives Ossian Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Ossian Care Center staffed?
Ossian Care Center reports 4.23 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Ossian Care Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Ossian Care Center have?
Ossian Care Center is certified for 46 beds.