Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Osage Rehab and Health Care Center

Osage, IA · 46 certified beds · Last Life Safety survey December 22, 2025

CMS Certification Number 165173 · first certified April 1992

Ownership

Operated by CAMPBELL STREET SERVICES · For profit - Limited Liability company

New ownershipOwnership changed February 1, 2025 (change of ownership)to OSAGE REHAB & HEALTH CARE CENTER from PREMIER ESTATES 508 LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IA

44 citations — more than 100% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 17 citations; the earlier surveys in the window averaged 9. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was December 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 44 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 44 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 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.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	44
Median facility in IA	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 30, 2023	15
November 14, 2024	10
April 4, 2025	2
December 22, 2025	17

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0039	Conduct testing and exercise requirements.	3	2025-12-22
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-12-22
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-12-22
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2025-12-22
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2025-12-22
K-0712	Have simulated fire drills held at unexpected times.	2	2025-12-22
K-0222	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.	2	2025-12-22
K-0324	Provide properly protected cooking facilities.	2	2025-12-22

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Emergency Preparedness Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 9
Egress Deficiencies 7
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Emergency Preparedness Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	9
Egress Deficiencies	7
Miscellaneous Deficiencies	4
Services Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 22, 2025 — 17 citations

Citations issued on December 22, 2025
Tag	What the surveyor checks	Status
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (March 6, 2026)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (March 6, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 6, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 27, 2026)
K-0222	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.	Deficient, Provider has date of correction (March 6, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 6, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 6, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 6, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 31, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 6, 2026)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (March 6, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 6, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 6, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 6, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 6, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 6, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 11, 2026)

April 4, 2025 — 2 citations

Citations issued on April 4, 2025
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (July 21, 2025)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (July 21, 2025)

November 14, 2024 — 10 citations

Citations issued on November 14, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (November 27, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 21, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (December 13, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 21, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 26, 2024)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (December 6, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 6, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 6, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (December 21, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 20, 2024)

August 30, 2023 — 15 citations

Citations issued on August 30, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (September 30, 2023)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (September 11, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (September 30, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (September 30, 2023)
K-0222	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.	Deficient, Provider has date of correction (September 5, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (September 7, 2023)
K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.	Deficient, Provider has date of correction (September 30, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 7, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (September 30, 2023)
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.	Deficient, Provider has date of correction (August 30, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (September 5, 2023)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (September 30, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 5, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (September 7, 2023)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (September 30, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.