Ossian Care Center — nursing home in Ossian, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 46 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: 38.4 CMS, MDS-derived
CMS Certification Number: 165576
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 9, 2006
Ownership type: Non profit - Corporation
Operator (legal business name): Ossian Senior Hospice Incorporated
CMS chain: Not part of a CMS-reported chain
Phone: (563) 532-9440
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest May 7, 2026

Citations

33

19 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E4	F12
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: 165576
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 46
First approved: Nov 9, 2006
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
May 7, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jan 22, 2026	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jan 22, 2026	Health	Health Standard	6	Potential harm	—	Open →
Oct 20, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 21, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Nov 21, 2024	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Oct 12, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Oct 12, 2023	Health	Health Complaint, Health Standard	3	Potential harm	—	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	D17	E4	F12
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 7, 2026	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2026	Complaint
May 7, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 12, 2026	Complaint
Jan 22, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 13, 2026
Jan 22, 2026	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 13, 2026
Jan 22, 2026	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 13, 2026
Jan 22, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 13, 2026
Jan 22, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 26, 2026
Jan 22, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2026
Jan 22, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 13, 2026
Jan 22, 2026	F-0580	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 13, 2026
Jan 22, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 13, 2026
Jan 22, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 13, 2026
Jan 22, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 13, 2026
Jan 22, 2026	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	E · Potential harm Pattern	Corrected Feb 13, 2026
Oct 20, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 2, 2025	Complaint
Nov 21, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 5, 2024
Nov 21, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 24, 2024
Nov 21, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 21, 2024
Nov 21, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 21, 2024
Nov 21, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 21, 2024
Nov 21, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 21, 2024	Complaint
Nov 21, 2024	F-0758	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 · Medication management	D · Potential harm Isolated	Corrected Dec 21, 2024
Nov 21, 2024	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	F · Potential harm Widespread	Corrected Dec 21, 2024
Nov 21, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 21, 2024
Oct 12, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 26, 2023
Oct 12, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 19, 2023
Oct 12, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 20, 2023
Oct 12, 2023	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 19, 2023
Oct 12, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 27, 2023
Oct 12, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 20, 2023
Oct 12, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 12, 2023	Complaint
Oct 12, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 12, 2023	Complaint
Oct 12, 2023	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	F · Potential harm Widespread	Corrected Nov 12, 2023

“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 QMNot rated

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 staffing4.25

State avg 3.86US avg 3.90

Registered nurse (RN)0.57

State avg 0.74US avg 0.69

Licensed practical nurse0.62

State avg 0.56US avg 0.86

Nurse aide3.06

State avg 2.56US avg 2.35

Weekend total nurse3.57

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.53 (case-mix index 1.08).

Staff turnover

Total nursing staff turnover37.3%

State avg 44.1%US avg 45.3%

Registered nurse turnover25.0%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 22, 2026
Cycle 1 health score: 44
Total weighted score: 46

Operating entity

Ossian Senior Hospice Incorporated

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

29

Organizations

10

Individuals

19

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
Ossian Senior Hospice Incorporated	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 3, 2013
Randy Fosaaen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2022
Heather Jackson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 26, 2022
Natalie Macario	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 13, 2017
Amy Manning	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 28, 2023
Rachael Marshall	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 16, 2024
Paul Wenner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 16, 2024
Mark Brincks	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 14, 2016
Melvin Elsbernd	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 1995
Kenneth Lansing	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 1990
Mary Sender	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 14, 2016
Leanne Uhlenhake	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 20, 2025
Karla Baumler	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 14, 2016
Thomas Bushman	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 1998
Melvin Elsbernd	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 1995
Tami Monroe	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 1989
Bcg Holdings Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Blue Stone Therapy Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2023
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Bcg LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Cattail Consulting LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 30, 2022
Cattail Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Ecsi Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Hacker Nelson and Co PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2012
Iowa Health Care Association	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Sarah Bappe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2021
Mark Branum	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2012
Rachael Marshall	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2025
Paul Wenner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2025

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: 114 Fisher Street, Ossian, IA 52161
ZIP: 52161
County: Winneshiek County FIPS 19191
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Wellington Place 2479 River Road, Decorah, IA 52101 CCN 165475	17.1 km	56		Aug 7, 2025	191 IJ1 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165576	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165576	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 165576

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