Ossian Care Center
Ossian Care Center in Ossian, IA — inspection on October 20, 2025.
Found 1 citation. 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
he would expect to be notified of blood pressures lower than 90/50 mm/Hg. An interview on 10/16/25 at 9:24 AM with Staff D, Licensed Practical Nurse (LPN) explained the Physician increased risperidal from 0.5 mg to 1 mg, and thought low blood pressure was related to the increased dose.
The resident did not sleep well the night prior and he was responsive when given his scheduled dilaudid.
Staff D explained a blood pressure lower than 90/50 would require a physician notification.
Staff D also explained she tried different blood pressure cuffs as she thought it was an error blood pressure reading. An interview on 10/16/25 at 11:01 AM with the facility's Pharmacist informed she would have thought a nurse would call the Physician if there was a concern related to a low blood pressure. An interview on 10/16/25 at 2:56 PM with Staff E, Certified Nursing Assistant (CNA) informed she observed Resident #1 on 9/17/25 around 12:30 AM and had no concerns with him at the time.
She then revealed she observed Resident #1 more than 20 times throughout the night, and he was the same.
She also revealed the nurse checked on him frequently.
She then informed at about 5:30 AM his eyes were glazed and he appeared different. An interview on 10/20/25 at 2:48 PM with the Assistant Director of Nursing (ADON) revealed on 9/17/25 at approximately 6:20 AM she assessed Resident #1 with Staff D and noticed he did not present as he normally did, she assessed his blood pressure and it read 84/62.
She then informed she would have expected Staff D to reassess Resident #1 blood pressure when it was 60/36 with a manual blood pressure cuff to ensure accuracy and to notify the ADON, the Director of Nursing (DON), or the on-call physician of the low blood pressure. An interview on 10/20/25 at 3:58 PM with the DON and Administrator explained she would have expected the Staff D to reassess resident #1 blood pressure on 9/16/25 to ensure accuracy using a manual blood pressure cuff and to notify the ADON, the Director of Nursing (DON), or the on-call physician of low blood pressure.
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