Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Northern Mahaska Specialty Care during CMS and state inspections, most recent first.
A resident with intact cognition and multiple diagnoses was found crying and upset, alleging that a staff member had thrown something at her. Despite being informed of the incident, the DON did not report the allegation to the state agency within the required two-hour timeframe, initially perceiving it as a customer service issue. The facility administrator later took steps to investigate, but the delay in reporting violated mandatory reporting requirements.
A cognitively impaired resident accessed an unsecured firearm brought into the facility by an LPN, who failed to report the incident. The resident, diagnosed with severe cognitive loss, moved a treatment cart to access the purse containing the gun. Other staff were aware but did not report the incident until much later, violating the facility's policy prohibiting firearms on the premises.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse within the required two-hour timeframe after staff became aware of the situation involving a resident. The resident, who had intact cognition and was diagnosed with Bipolar Disorder, End Stage Renal Disease, and atrial fibrillation, was found crying and upset in her room by a CNA. The resident alleged that a staff member had thrown something at her and treated her poorly. The incident occurred after lunch and before the resident was scheduled to leave for an appointment. The facility's Van Driver, who was present during the incident, reported the resident's distress to the Director of Nursing (DON). Despite being informed of the resident's upset state and the allegation, the DON initially perceived the situation as a customer service issue rather than a potential abuse case. The DON did not report the allegation to the State Department of Inspections, Appeals, and Licensing (DIAL) on the day of the incident or the following day, as required by facility policy. The facility administrator became aware of the situation two days later and took steps to investigate the allegation, including suspending the staff member involved pending investigation. However, the delay in reporting the allegation to the state agency constituted a failure to comply with the mandatory reporting requirements for abuse allegations, as the facility policy dictates that such allegations must be reported within two hours of staff becoming aware of them.
Resident Accesses Unsecured Firearm in Facility
Penalty
Summary
The facility failed to maintain a safe environment free from hazards when an employee brought a loaded handgun into the facility, which was left unsecured at the Nurse's Station. This lapse in safety protocol allowed a cognitively impaired resident, who had a history of fidgeting and seeking out objects, to gain access to the purse containing the firearm. The resident, who was diagnosed with non-Alzheimer's dementia and had severe cognitive loss, was able to move a treatment cart and access the purse, although the gun was not removed from the purse. The incident was not immediately reported to management, as the staff member involved, an LPN, did not disclose the event due to fear of getting into trouble. Other staff members, including a CNA and an RN, were aware of the situation but did not report it until much later. The RN had advised the LPN to report the incident, but it was only brought to the attention of the facility's administration after another staff member learned of it and contacted the Administrator. The facility's policy clearly prohibited firearms on the premises, and staff were instructed to report any such violations immediately. However, the failure to adhere to these policies and the delay in reporting the incident resulted in a significant safety breach. The resident's Power of Attorney was informed of the need to find a more suitable care setting for the resident but was not initially informed about the presence of a gun in the facility.
Removal Plan
- All Nursing Staff educated on: Firearms and weapons are not allowed on the premises, this includes in a vehicle in the parking lot.
- Keep your personal belongings in your vehicle or the breakroom, not in public areas accessible to residents.
- If the person being reported is your supervisor, please go to the next person in charge.
- If a person or staff member enters facility carrying a weapon, who is not required to carry a weapon (i.e., a law enforcement officer) they will be asked to remove the weapon from the premises. If they refuse to do so, police will be contacted. Staff will move residents and other staff away from situation. Staff will notify manager on duty.
- Education will be completed with new staff or contracted staff prior to the start of their next shift.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Oskaloosa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oskaloosa Care Center | 1.6 mi | — | 10 | 1 |
| Crystal Heights Care Center | 1.6 mi | — | 1 | 0 |
| The Cottages | 16 mi | — | 2 | 0 |
| Montezuma Specialty Care | 19.4 mi | — | 6 | 0 |
| Oakwood Specialty Care | 22.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.