Osage Rehab And Health Care Center
Osage Rehab and Health Care Center in Osage, IA — inspection on December 22, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the MDS Care Area Assessment (CAA) worksheet dated 9/28/25 related to pressure ulcers revealed the facility MDS Coordinator checked the box Resident #4 pressure ulcer areas needed implemented on the Care Plan, but failed to complete the section that describes the impact it will have, rationale for care planning, risk factors, and if a referral to other health professionals would be needed. In an interview on 12/18/25 at 11:45 AM Resident #4 explained she didn‘t have new pressure ulcers form since her admission to the facility. In an interview on 12/22/25 at 12:13 PM Staff C, Registered Nurse (RN), described Resident #4's pressure ulcers as getting better.
She added Resident #4 didn't have a new pressure ulcer since her admission to the facility.
She reported the MDS Coordinator worked offsite and not at the facility. 2. Resident #24's MDS assessment dated [DATE] identified a BIMS score of 3, indicating severe cognitive impairment.
The MDS included diagnoses of Parkinson's, dehydration, and depression.
The MDS listed a weight of 230 pounds (lbs.).
Review of the MDS Care Area Assessment (CAA) worksheet dated 10/3/25 related to nutritional status revealed the facility MDS Coordinator indicated nutritional status should be addressed on the Care Plan, but failed to complete the section that described the impact it will have, rationale for care planning, risk factors, and if a referral to other health professionals would be needed.
The Weight / Skin Summary Note dated 12/5/25 at 11:47 AM documented a meeting with the Assistant Director of Nursing and the Dietician.
The not listed his weight on 12/2/25 as 190.4 lbs.
The nurse reflected he lost 9% of his body weight in 1 month, admitted to hospice level of care, ate very poorly, and refused many meals.
Recommend to have provider document the weight loss as unavoidable. Resident #24's MDS assessment dated [DATE] documented a weight of 190 lbs., not on a physician prescribed weight-loss regimen.
The MDS indicated he received Hospice level of care. In an interview on 12/22/25 at 3:42 PM the Assistant Director of Nursing (ADON) reported the facility's company started an internal audit for the CAA's on 12/19/25 after learning of the incomplete worksheets.
An unsuccessful attempt to contact the facility's MDS Coordinator occurred on 12/23/25 at 4:03 PM. As of 12/29/25, no return call received.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Osage Rehab and Health Care Center
830 South Fifth Street Osage, IA 50461
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's Pressure Ulcers/Injury Overview policy dated 2001 lacked instructions on Care Planning and completion of the facility's process to complete assessments.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Osage Rehab and Health Care Center
830 South Fifth Street Osage, IA 50461
SUMMARY STATEMENT OF DEFICIENCIES
Based on facility documents, schedule review, and staff interviews, the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day as required by the Federal Regulations. In addition, the facility failed to have a full time Director of Nursing.
The facility reported a census of 25 residents.
Findings include:
Review of the daily schedule for July 2025 lacked an RN on the 3rd, 14th, and 27th.The daily schedule for November 2025 lacked a RN for the 17th and 19th. On 12/17/25 at 2:55 PM the Interim Director of Nursing (DON) reported the facility did not have an RN on July 3rd, 14th 27th and November 17 and 19.
The interim DON reported she knew of the lack of RN coverage, but she didn't become Interim until December 1, 2025.
Review of the facility's New Hire and Termination List lacked a DON from 10/18/25 until 12/1/25.On 12/18/25 10:32 AM the Administrator reported the facility didn't have a DON from 10/18/25 until 12/1/25.
They didn't have anyone in place at the time to cover.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Osage Rehab and Health Care Center
830 South Fifth Street Osage, IA 50461
SUMMARY STATEMENT OF DEFICIENCIES
Based on observations, facility document review and staff interviews, the facility failed to post the daily staff posting with the census and facility name.
The facility reported a census of 25 residents.
Findings include:An observation on 12/15/25 at 3:17 PM observed the facility didn't have the daily staff posting didn't contain the resident census or the facility name. An observation on 12/16/25 at 3:20 PM observed the facility didn't have the daily staff posting didn't contain the resident census or the facility name. An observation on 12/17/25 at 3:42 PM observed the facility didn't have the daily staff posting didn't contain the resident census or the facility name.
During an interview on 12/18/25 11:41 AM, the Administrator reported the overnight nurses did the daily staff postings.
She reported the nurses fill out the nurses and CNA number of staff and hours totaled each shift.
She reported she didn't believe the staff put the census of it.
On 12/18/25 at 11:44 AM observed with the Administrator the daily staff posting didn't contain the resident census or the facility name.
Facility ID: