Faith Lutheran Home — nursing home in Osage, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 50 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 38.1 CMS, MDS-derived
CMS Certification Number: 165433
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 2002
Ownership type: Non profit - Church related
Operator (legal business name): Faith Lutheran Home
CMS chain: Not part of a CMS-reported chain
Phone: (641) 732-5511
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 16, 2025

Citations

7

2 health · 5 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E4	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165433
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Jun 1, 2002
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 16, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 16, 2025	Health	Health Standard	2	Potential harm	—	Open →
Sep 5, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 5, 2024	Health	Health Standard	0	No citations	—	Open →
May 16, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 16, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E4	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jul 16, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2025
Jul 16, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 15, 2025
Jul 16, 2025	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 14, 2025
Jul 16, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 14, 2025
May 16, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 29, 2024
May 16, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Jun 24, 2024
May 16, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 22, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.37

State avg 3.86US avg 3.90

Registered nurse (RN)0.77

State avg 0.74US avg 0.69

Licensed practical nurse0.85

State avg 0.56US avg 0.86

Nurse aide2.75

State avg 2.56US avg 2.35

Weekend total nurse3.72

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.35 (case-mix index 1.40).

Staff turnover

Total nursing staff turnover50.0%

State avg 44.1%US avg 45.3%

Registered nurse turnover28.6%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 16, 2025
Cycle 1 health score: 12
Total weighted score: 9

Operating entity

Faith Lutheran Home

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

15

Organizations

1

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Faith Lutheran Home	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 3, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Faith Lutheran Home	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 3, 2017
Bonnie Blake	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 23, 2021
Paul Bodtke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 11, 2016
Kelci Farmer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Nancy Klemesrud	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 11, 2016
Jim Moody	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 11, 2016
Mark Penney	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Henry Steward	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Dale Tabbert	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 11, 2016
Leanna Troge	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 11, 2016
Violet Walk	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Jim Moody	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 11, 2016
Dale Tabbert	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 11, 2016
Leanna Troge	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 11, 2016
Scott Halbach	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Mar 24, 2021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 914 Davidson Drive, Osage, IA 50461
ZIP: 50461
County: Mitchell County FIPS 19131
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Osage Rehab and Health Care Center 830 South Fifth Street, Osage, IA 50461 CCN 165173	0.6 km	46		Apr 2, 2026	881 IJ1 harm	$14k
Good Samaritan - Saint Ansgar 701 East Fourth Street, Saint Ansgar, IA 50472 CCN 165210	14.1 km	42		Jun 18, 2026	12	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165433	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165433	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165433

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction