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Nursing HomeMedicaid Investigative

Oskaloosa Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

605 Highway 432, Oskaloosa, IA 5257783 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 16 Google reviews

5
4
3
2
1
Oskaloosa Care Center Nursing Home in Oskaloosa, IA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (11 vs median 5)
  • High staff turnover (60%)
  • High RN turnover (75%)

Bottom 25% in IA · Critically understaffed (RN) · $29,679 in fines

Source: Medicare data

What this means for your family

This facility has received extremely serious allegations regarding medical negligence and emergency response failures. We strongly advise families to look elsewhere or conduct an exhaustive, in-person investigation into their emergency protocols and staffing qualifications before considering placement.

Google Reviews

Google Reviews

16 reviews on Google
Oskaloosa Care Center receives highly polarized feedback, with a significant number of reviews consisting of empty five-star ratings alongside severe allegations of neglect. Families have reported critical failures in emergency response and medical care, leading to tragic outcomes for residents, while other reviewers offer brief, non-specific praise.

Quality Themes

Tap a score for details
FoodN/AStaff2.0CleanN/AActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Brief, positive sentiment from some families
  • Responsive owner engagement on some platforms

Concerns

  • Severe medical neglect and failure to provide emergency care (mentioned by 2 reviewers)
  • Unprofessional and rude staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02016(1)5.02019(1)4.12023(9)5.02024(2)2.32025(3)1.02026(1)

Distribution · 17 analyzed

5
12
4
0
3
0
2
0
1
5

How They Respond to Reviews

6%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the owner is very active in responding to feedback online; how does the management team typically communicate important updates or changes to families?
  • 2What specific protocols are in place to ensure medication is administered accurately and on schedule every day?
  • 3How does the nursing team handle medical emergencies or urgent care needs during the overnight hours?
  • 4With the recent state inspections, what specific steps has the facility taken to address and resolve the identified deficiencies?
  • 5Can you tell me more about the training programs available to ensure all staff members provide professional and compassionate care to residents?
  • 6What kind of daily activities or social outings are planned to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

My dad died because of their negligence. Failed to perform CPR, call an ambulance and could not locate the crash cart. Do not send people you love to this nightmare.

Family member of resident · 2025☆☆☆☆

I cannot believe the negligence my family member faced at this facility. They were placed here after a stay in the hospital, as a place to receive care until they could return home, but because of this care center they ended up back in the hospital

Family member of resident · 2023☆☆☆☆

Thank you for taking such good care of my mom

Family member of resident · 2023★★★★★
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.25hrs
34%
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
100%
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

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.2%
Worse than Avg
Here
37.2%
US
19.5%
IA
20.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
IA
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
15.3%
IA
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.4%
Worse than Avg
Here
22.4%
US
14.4%
IA
17.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
IA
25.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
93.4%
IA
93.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.7%
Better than Avg
Here
95.7%
US
79.8%
IA
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
IA
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Mixed vs Avgs
Here
1.8%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
2penalties
Well above state avg (6.2)
18 complaint-triggered
$29,679 in fines

Oskaloosa Care Center shows a concerning pattern with 16 complaint-triggered deficiencies, indicating families have reported serious issues including neglect and inadequate treatment care. Recurring problems involve resident assessments, treatment and care quality, staff training, and fire safety systems. While the facility reports correcting violations, the persistent complaints across multiple surveys from 2023 through 2025 suggest ongoing care quality concerns that families should carefully investigate before placement.

Apr 15, 2026Complaint
4
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Sep 17, 2025Complaint
6
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0944Potential for harm · IsolatedCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0945Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

0946Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide training in compliance and ethics.

Jun 19, 2025Routine
8
0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 23, 2025Complaint
5
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0642Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure a qualified health professional conducts resident assessments.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Aug 1, 2024Routine
6
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Aug 1, 2024Complaint
2
0641Potential for harm · PatternResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0725Potential for harm · PatternCorrected

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.

Federal Penalties

Fine

Sep 17, 2025

$67,324

Payment Denial

Sep 17, 2025

34-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
21deficiencies
Jun 11, 2026Complaint
Clean

Fed violations: 3, State violations: 0

May 27, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 15, 2026Complaint
Clean

Fed violations: 4, State violations: 1

Nov 20, 2025Other
Clean

Fed violations: 0, State violations: 0

Nov 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 13, 2025Other
Clean

Fed violations: 0, State violations: 0

Sep 17, 2025Complaint
Clean

Fed violations: 6, State violations: 2

Jun 26, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oskaloosa Care Center

Organization Type

for profit

Ownership & Management

Owners

Oskaloosa Care Center INC

Owner · Organization

100%

Barbara S. Donohue, Revocable Trust

Owner (parent company) · Organization

Carlson, Kenneth

Owner (parent company)

Donohue, Barbara

Owner (parent company)

Reitmeier, Ronald

Owner (parent company)

Theobald, Michael

Owner (parent company)

Key personnel

Carlson, KennethOfficer / DirectorDonohue, RichardOfficer / DirectorReitmeier, RonaldOfficer / DirectorTheobald, MichaelOfficer / DirectorCarlson, KennethOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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