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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.