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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D28 | E11 | F7 |
| 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 30, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 30, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 17, 2025 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Jun 19, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 19, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jan 23, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Aug 1, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 17, 2025 | Civil money penalty (fine) | $45,354 | — | 165589|Fine|137425 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D28 | E11 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 30, 2026 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 5, 2026 | |
| Jul 30, 2026 | K-0133 | Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 3, 2026 | |
| Jul 30, 2026 | K-0271 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oskaloosa Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 19, 2008 |
| Barbara S. Donohue, Revocable Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2016 |
| Kenneth Carlson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Barbara Donohue | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2016 |
| Ronald Reitmeier | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Michael Theobald | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oskaloosa Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 19, 2008 |
| Barbara S. Donohue, Revocable Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2016 |
| Kenneth Carlson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Barbara Donohue | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Crystal Heights Care Center 1514 High Avenue West, Oskaloosa, IA 52577 CCN 165570 | 0.7 km | 72 | Aug 20, 2026 | 321 harm | $10k | |
| Northern Mahaska Specialty Care 2401 Crestview Drive, Oskaloosa, IA 52577 CCN 165274 | 2.5 km | 79 | Nov 24, 2025 | 251 IJ | $39k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165589 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165589 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 31, 2026 |
| Jul 30, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 18, 2026 |
| Jul 30, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 12, 2026 |
| Jul 30, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 3, 2026 |
| Jul 30, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2026 |
| Jul 30, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2026 |
| Jul 30, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2026 |
| Jul 30, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2026 |
| Jul 30, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 10, 2026 |
| Jul 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 10, 2026 |
| Jun 11, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 6, 2026 | Complaint |
| Jun 11, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 6, 2026 | Complaint |
| Jun 11, 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 Jul 6, 2026 | Complaint |
| Apr 15, 2026 | 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 May 10, 2026 | Complaint |
| Apr 15, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 10, 2026 | Complaint |
| Apr 15, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 10, 2026 | Complaint |
| Apr 15, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 10, 2026 | Complaint |
| Nov 13, 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 Nov 20, 2025 | Complaint |
| Sep 17, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 29, 2025 | Complaint |
| Sep 17, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 29, 2025 | Complaint |
| Sep 17, 2025 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 29, 2025 | Complaint |
| Sep 17, 2025 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 29, 2025 | Complaint |
| Sep 17, 2025 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 29, 2025 | Complaint |
| Sep 17, 2025 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 29, 2025 | Complaint |
| Jun 19, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 19, 2025 |
| Jun 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 19, 2025 |
| Jun 19, 2025 | 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 Jun 18, 2025 |
| Jun 19, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 26, 2025 |
| Jun 19, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 26, 2025 |
| Jun 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 26, 2025 |
| Jun 19, 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 | E · Potential harm Pattern | Corrected Jun 26, 2025 |
| Jun 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 26, 2025 |
| Jan 23, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 22, 2025 | Complaint |
| Jan 23, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 22, 2025 | Complaint |
| Jan 23, 2025 | F-0642 | Ensure a qualified health professional conducts resident assessments. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 22, 2025 | Complaint |
| Jan 23, 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 Feb 22, 2025 | Complaint |
| Jan 23, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 22, 2025 | Complaint |
| Aug 1, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2024 |
| Aug 1, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2024 |
| Aug 1, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Aug 1, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 16, 2024 |
| Aug 1, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Past non-compliance Aug 1, 2024 | Complaint |
| Aug 1, 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 Aug 22, 2024 |
| Aug 1, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2024 |
| Aug 1, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 22, 2024 | Complaint |
| Jan 10, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.23 (case-mix index 1.18).
| Mar 22, 2016 |
| Ronald Reitmeier | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Michael Theobald | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 19, 2008 |
| Kenneth Carlson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2008 |
| Richard Donohue | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2008 |
| Cisley Frymoyer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 28, 2025 |
| David North | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2008 |
| Ronald Reitmeier | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2008 |
| Tina Steffen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2008 |
| Michael Theobald | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2008 |
| Kenneth Carlson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2008 |
| Richard Donohue | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2008 |
| Ronald Reitmeier | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2008 |
| Michael Theobald | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2008 |
| Kenneth Carlson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 19, 2008 |
| Ronald Reitmeier | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 19, 2008 |
| Michael Theobald | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 16, 2008 |
| Barbara S. Donohue, Revocable Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2016 |
| Kdcllc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Mahaska County Hospital | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Mahaska Drug Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Midwestone Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Oskaloosa Care Center Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| R&R Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Tdt Cpa's and Advisors PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Kenneth Carlson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Barbara Donohue | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2016 |
| Richard Donohue | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Cisley Frymoyer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 28, 2025 |
| David North | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Ronald Reitmeier | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |
| Tina Steffen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2008 |
| Michael Theobald | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2008 |