Oskaloosa Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 16 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 17 analyzed
How They Respond to Reviews
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.”
“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”
“Thank you for taking such good care of my mom”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint4
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Sep 17, 2025Complaint6
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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.
Administration Deficiencies
Provide training in compliance and ethics.
Jun 19, 2025Routine8
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jan 23, 2025Complaint5
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 1, 2024Routine6
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Aug 1, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
Jun 11, 2026ComplaintClean
Fed violations: 3, State violations: 0
May 27, 2026ComplaintClean
Fed violations: 0, State violations: 0
Apr 15, 2026ComplaintClean
Fed violations: 4, State violations: 1
Nov 20, 2025OtherClean
Fed violations: 0, State violations: 0
Nov 13, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 13, 2025OtherClean
Fed violations: 0, State violations: 0
Sep 17, 2025ComplaintClean
Fed violations: 6, State violations: 2
Jun 26, 2025InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Oskaloosa Care Center
for profit
Ownership & Management
Owners
Oskaloosa Care Center INC
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
16 reviews from families & visitors
Official Website
Visit oskaloosacarecenter.com
Medicare data downloads
Original nursing home datasets
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