Oswego Operator, LLC
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 38 Google reviews
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What this means for your family
While many families report excellent therapy and a warm environment, the recent reports of neglect regarding feeding assistance are concerning. When touring, we strongly recommend observing mealtime to ensure residents receive the necessary support and attention they require.
Google Reviews
Google Reviews
38 reviews on Google“Oswego Health and Rehab receives high praise from many residents and family members who highlight the facility's "family-like" atmosphere, effective therapy department, and compassionate staff. However, there are serious concerns regarding basic care standards, specifically reports of neglect regarding resident nutrition and feeding assistance.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective therapy department
- Warm, family-like atmosphere
- Compassionate and attentive nursing staff
- Clean, well-maintained environment
Concerns
- Neglect regarding resident feeding and nutrition (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 40 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the warm, family-like atmosphere here; how do you help new residents integrate into the community during their first few weeks?
- 2The therapy department comes highly recommended, so could you tell us more about how the therapists work with residents to maintain their mobility?
- 3What specific protocols are in place to ensure that every resident receives consistent and attentive assistance during mealtimes?
- 4Since the facility is so well-maintained and clean, what is your routine for ensuring the resident rooms and common areas stay comfortable and hygienic?
- 5How does the nursing team handle medical emergencies or sudden changes in a resident's health during the overnight hours?
- 6Could you describe some of the daily social activities or group events that help keep the residents engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“The staff is very negligent about helping residents eat. My dad was given peanut butter and jelly sandwiches for a meal because he couldn’t feed himself.”
“The care is 5 Star across the board. the food is second to NONE. Well plated, well seasoned, great portions. A clean, Odor free, except for the wonderful aromas coming from the kitchen…”
“I couldn't be more please with the care both of my parents received recently at Oswego Health and Rehab. They were all so very kind, caring, helpful and the most important thing we received was that they treated my parents like they would have treated their own parents!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents needing more daily help over time
Residents who got a urinary tract infection
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant ongoing problems with fire safety systems and medication management that persist across all three surveys from 2022 to 2025. Repeated deficiencies include faulty fire alarms, smoke barriers, emergency lighting, and pharmacy oversight issues. While the facility has correction plans, the pattern of recurring fire safety violations and medication oversight problems suggests systemic challenges that families should carefully consider before visiting.
Dec 30, 2025Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
May 20, 2024Routine15
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Aug 16, 2022Routine17
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Ownership & Operations
Who Operates This Facility
Oswego Operator, LLC
for profit
Chain Affiliation
Mission Health Communities
33 facilities nationwide
Chain avg rating: 2.5/5 · Rank 15 of 40
Ownership & Management
Owners
Kansas Operator LLC
Owner · Organization
Barres, LLC
Owner (parent company) · Organization
T and C Capital Assets, LLC
Owner (parent company) · Organization
Windward Health Partners LLC
Owner (parent company) · Organization
Crino, Bryan
Owner (parent company)
Feuer, Scott
Owner (parent company)
Lindeman, Stuart
Owner (parent company)
Passero, Joseph
Owner (parent company)
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
38 reviews from families & visitors
Official Website
Visit oswegohealthandrehab.com
Medicare data downloads
Original nursing home datasets
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