Oskaloosa Care Center: Staff Training Failures Found - IA
That was her answer. They would work on building it.
Inspectors arrived on September 17, 2025, responding to a complaint. They pulled personnel files for six employees, a licensed practical nurse and five certified nursing assistants, and found the same problem across all six files: required training either had never happened, or there was no documentation that it had. In a facility with 76 residents, not one of the reviewed employees had a complete training record.
The LPN, identified in the report as Staff B, was hired on January 8, 2025. Eight months into the job, her file contained no documentation of completed training in quality assurance and performance improvement, compliance and ethics, or infection control. Three CNAs hired after her, in April, July, and August of 2025, had the same gaps. The two remaining CNAs were not new hires, meaning the facility had an obligation to train them annually. Their files lacked documentation of annual training in quality assurance and compliance and ethics.
The facility did have a training document. It was undated and untitled, but it described a program meant to cover all departments, new hires and existing staff alike. The facility's inservice attendance calendar listed infection control as a topic. Quality assurance and performance improvement was not on it. Compliance and ethics was not on it either.
So the document existed. The calendar existed. The training, at least for these six employees, did not, or if it did, nobody wrote it down.
The director of nursing, when inspectors spoke with her at 12:41 in the afternoon, confirmed she did not see any additional education in the files. She did not offer an explanation for why the August hire, brought on less than three weeks before inspectors arrived, had no training documentation. She did not explain why the January hire had gone eight months without a complete record. She said the facility would work to building their training program.
Infection control training matters in a nursing home because residents are often immunocompromised, share spaces, and depend entirely on staff to follow proper procedures. Quality assurance training is how staff learn to identify and report problems before they become harm. Compliance and ethics training covers the obligations staff have to residents and to the law. These are not elective topics.
The inspection report classified the deficiency as minimal harm or potential for actual harm, with few residents affected. That classification reflects what inspectors could document, not a guarantee that nothing went wrong during the months these employees worked without verified training.
The CNA hired on August 28 had been on the job for twenty days when inspectors walked in. There is no record she had been trained in infection control. There is no record she had been trained in what to do when she saw something wrong, or in what her obligations were to the people in her care. The facility's answer, delivered by its director of nursing, was that they would work on it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oskaloosa Care Center from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
Oskaloosa Care Center in Oskaloosa, IA was cited for violations during a health inspection on September 17, 2025.
They would work on building it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.