Osage Rehab and Health Care Center

CMS star ratings

Overall★★★★★ 1/5

State avg 3.1

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.7

Quality measures★★★★★ 2/5

State avg 3.3

Long-stay quality★★★★★ 2/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.06 (state 3.82 · U.S. 3.86)
Registered nurses (RN): 0.62 (state 0.74 · U.S. 0.69)
Licensed practical nurses: 0.75 (state 0.56 · U.S. 0.86)
Nurse aides: 1.68 (state 2.51 · U.S. 2.32)
Weekend total: 2.68 (state 3.37 · U.S. 3.42)
Nursing staff turnover: 56.3 (state 44.0 · U.S. 45.8)%
RN turnover: 71.4 (state 42.1 · U.S. 42.9)%
Administrators who left: 2 in the last year

Inspections

Last standard inspection: December 22, 2025
Health deficiencies (last cycle): 16.0 (state 6.5 · U.S. 9.3)
From complaints: 8
Citations on record (3 years): 44 health · 36 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-04-02	Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-27
2026-04-02	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-27
2026-04-02	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-27
2026-02-11	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-02-20
2025-12-22	Have 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-22	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-06-11	Help the resident with transportation to and from laboratory services outside of the facility. F0774 · Administration Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-24
2025-04-08	Honor 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. F0584 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-05-01
2025-04-08	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-01
2025-02-28	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-03-22
2025-02-28	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-05-01
2025-02-28	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-03-22
2025-02-28	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-03-22
2024-11-14	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-11-14	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-11-14	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-11-14	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-11-14	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-11-14	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-12
2024-07-17	Ensure 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-08-20
2024-07-17	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-17	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-04-09	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-04-25
2024-04-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-04-25
2024-04-09	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-25
2023-08-30	Honor 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. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Ensure 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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-21
2023-08-30	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-09-21
2023-08-30	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-09-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $14,433 in fines.

Date	Type	Amount
2025-12-22	Payment Denial	9 days payment denial
2025-02-28	Payment Denial	34 days payment denial
2024-07-17	Fine	$14,433

Ownership & management

Name	Role	Since
5V+ Seniors Healthcare Fund GP, LLC (organization)	Administrator · NOT APPLICABLE
5V+ Seniors Healthcare Fund, LP (organization)	Administrator · NOT APPLICABLE
Acd Consolidated LLC (organization)	Administrator · NOT APPLICABLE
Bear Creek Sraf GP Holdings LLC (organization)	Administrator · NOT APPLICABLE
Bear Creek Strategic Real Assets Fund LP (organization)	Administrator · NOT APPLICABLE
Campbell Street Ia 10 LLC (organization)	Administrator · NOT APPLICABLE
Campbell Street Services LLC (organization)	Administrator · NOT APPLICABLE
Defranco Investment Co LTD (organization)	Administrator · NOT APPLICABLE
Iaga SNF Holdings LLC (organization)	Administrator · NOT APPLICABLE
Iaga SNF Osage LLC (organization)	Administrator · NOT APPLICABLE
Iaga SNF Portfolio LLC (organization)	Administrator · NOT APPLICABLE
Nap Holdings LLC (organization)	Administrator · NOT APPLICABLE
Dole, Isaac (individual)	Managing Control - Governing Body · NOT APPLICABLE
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

Frequently asked questions

What is the rating of Osage Rehab and Health Care Center?

Osage Rehab and Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Osage Rehab and Health Care Center have?

It has 46 certified beds and cares for about 26 residents per day.

Has Osage Rehab and Health Care Center been fined?

Yes. CMS lists 3 penalties totaling $14,433 in the last three years.

Who owns Osage Rehab and Health Care Center?

It is part of Campbell Street Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Osage Rehab and Health Care Center?

(641) 732-5520. The facility is located at 830 South Fifth Street, Osage, IA 50461.

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Contact & location

Facility details