F

Northern Mahaska Specialty Care

2401 Crestview Drive, Oskaloosa, IA 52577
Score: 36 / 100

With a score of 36/100, Northern Mahaska Specialty Care ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Northern Mahaska Specialty Care, with 3.19 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 12 deficiencies at Northern Mahaska Specialty Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.19 3.8 Below Average
Registered Nurses (RN) 0.42 0.7 Below Average
Licensed Practical Nurses (LPN) 0.59 0.7 Below Average
Certified Nursing Assistants (CNA) 2.18 2.4 Average
Weekend Total Nursing 2.83 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Nov 23, 2025
Most Recent Inspection
🟠 11 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0803 Severity E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee
    Nov 23, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Nov 23, 2025 · Infection Control Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Nov 23, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0726 Severity D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    Nov 23, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Feb 25, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.6% 4.5% Better
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 15.0% 14.5% Average
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 16.3% 14.0% Worse
Excessive weight loss 7.2% 7.5% Average
New/worsened incontinence 27.1% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $46,989

How This Grade Was Calculated

This facility's grade of F is based on a score of 36 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
79
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 23, 2025
Deficiencies (Cycle 1)
4

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