Nursing HomeMedicaid

Oakwood Specialty Care

Strong Medicare quality ratings; families often praise some long-serving staff members. Still worth an in-person visit.

200 16th Avenue East, Albia, IA 52531|54 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

2.6/5

based on 13 Google reviews

(641) 932-7105 Directions Website

Street View

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What this means for your family

While recent reviews show a split between high praise and severe criticism, the historical pattern of reports regarding medication errors and neglect is concerning. We strongly advise families to conduct an unannounced visit and specifically request to see the facility's most recent state survey results before making a decision.

Google Reviews

13 reviews analyzed

“Oakwood Specialty Care receives overwhelmingly negative feedback from families, with multiple reports of severe neglect, medication errors, and poor staff conduct. While a few recent reviews offer high praise for staff compassion, the majority of detailed accounts describe a facility struggling with basic care standards and hygiene. Families should exercise extreme caution given the consistent reports of systemic failures over several years.”

Quality Themes

Tap a score for details

Strengths

Some long-serving staff members
Occasional reports of compassionate care

Concerns

Neglect and lack of bedside manner (mentioned by 6 reviewers)
Medication management errors and delays (mentioned by 2 reviewers)
Rude or unprofessional staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

54%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed that some staff members have been with Oakwood for a long time; how do you foster that longevity and ensure that same level of warmth and compassion is consistent across the entire team?
2Given the recent state violations, what specific operational changes or training programs have you implemented recently to improve the overall quality of care and resident experience?
3Could you walk me through your current process for medication management to ensure that doses are administered accurately and on schedule for residents?
4I saw that you engage with feedback online; how do you use that communication to address family concerns and improve the daily environment for residents?
5What steps are being taken to improve the dining experience and cleanliness of the facility to ensure residents feel comfortable and well-nourished?
6How do you handle medical emergencies or urgent health changes during the night shift to ensure families are kept informed and residents receive immediate attention?

Personalized based on this facility's data

Key Review Excerpts

“They would not give her, her medications properly. She was supposed to have certain ones every 4 hours it was almost 9 hours before she got them.”

Memory care family member · 2023★☆☆☆☆

“They are terrible towards the residents, they have bedbugs, they leave residents without help and cover up falls, they put residents to bed at 2 pm and won’t wake them up for dinner.”

Long-term resident's family · 2021★☆☆☆☆

“The staff is amazing with families and the residents, caring, and compassionate. With all the hard work and dedication, this has turned into a place to be proud of.”

Family member · 2024★★★★★

Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.58hrs

78%

Registered nurses for medical care

Total Nursing

3.22hrs

79%

All nurses + aides combined

Staff Turnover

37%

Lower is better (< 30% = good)

RN Turnover

50%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility31.8%

Worse than Avg

Here

31.8%

19.5%

20.7%

Monroe

17.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.9%

Monroe

88.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility9.6%

Better than Avg

Here

9.6%

14.4%

17.6%

Monroe

15.2%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility22.1%

Worse than Avg

Here

22.1%

15.4%

19.4%

Monroe

15.9%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility25.5%

Mixed vs Avgs

Here

25.5%

19.4%

25.9%

Monroe

22.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility8.9%

Mixed vs Avgs

Here

8.9%

12.1%

4.1%

Monroe

12.2%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

84.0%

Monroe

74.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Monroe

1.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

Well below state avg (6.2)

4 complaint-triggered

Oakwood Specialty Care has a concerning pattern with families filing complaints that triggered inspections, particularly regarding inadequate nursing staffing and daily care assistance. The facility shows recurring issues across dietary services, nursing staffing, and care planning that have persisted across multiple surveys from 2023 to 2024. While all deficiencies show correction dates, the repeated nature of problems in core care areas suggests ongoing operational challenges that warrant careful consideration.

Sep 4, 2025Routine2 findings

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 5, 2024Routine6 findings

0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 29, 2024Complaint1 finding

0809ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Oct 23, 2023Complaint2 findings

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jun 15, 2023Routine7 findings

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584MinorCorrected

Resident Rights Deficiencies

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.

0636MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0697MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0868MinorCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Jun 15, 2023Complaint1 finding

0658ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

10deficiencies

Sep 17, 2025InspectionNo deficiencies

Clean