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CMS Nursing Home Compare · March 2026

Northern Mahaska Specialty Care

Northern Mahaska Specialty Care is a non profit - corporation facility in Oskaloosa, IA with 79 certified beds and a 2-star overall CMS rating. The inspection file holds 12 deficiency records. Total penalties: $47K.

2401 Crestview Drive, Oskaloosa, IA 52577

Phone: 6416733000

Overall CMS Rating

2/5

vs 3.0 national avg

The verdict

Northern Mahaska Specialty Care holds a 2-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall rating (nat'l avg 3.0)
3.19
Nursing hrs/resident-day (nat'l 3.89)
12
Inspection findings on file · 2 serious
$47K
Federal penalties (2)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
165274
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
79
Residents
76
In Hospital
No
County
Mahaska
Last Inspection
Nov 24, 2025

Staffing Data

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.59
CNA Hours
2.18
Total Nursing Hours
3.19 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
38.0%
RN Turnover
27.3%

What the CMS Record Reveals About Northern Mahaska Specialty Care

Northern Mahaska Specialty Care operates 79 certified beds in Oskaloosa, IA with approximately 76 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 12 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $47K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.19 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Northern Mahaska Specialty Care falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 38.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

E — Pattern - Minimal harm Nov 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 1, 2025

E — Pattern - Minimal harm Nov 24, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 1, 2025

D — Isolated - Minimal harm Nov 24, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 1, 2025

D — Isolated - Minimal harm Nov 24, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 1, 2025

D — Isolated - Minimal harm Feb 26, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 27, 2025

J — Isolated - Jeopardy Jul 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2024

E — Pattern - Minimal harm Dec 21, 2023 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Dec 22, 2023

D — Isolated - Minimal harm Aug 30, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2023

E — Pattern - Minimal harm Aug 30, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 20, 2023

D — Isolated - Minimal harm Aug 30, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2023

D — Isolated - Minimal harm May 10, 2023 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2023

G — Isolated - Actual harm May 10, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 91.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.0% Yes

Penalty History 2 penalties totaling $47K

Date Type Amount
Jul 6, 2024 Fine $39K
May 10, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for Northern Mahaska Specialty Care?
Northern Mahaska Specialty Care has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Northern Mahaska Specialty Care?
Northern Mahaska Specialty Care reports 3.19 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68). Nursing staff turnover is 38.0%.
How many beds does Northern Mahaska Specialty Care have?
Northern Mahaska Specialty Care has 79 certified beds with approximately 76 residents. The facility is located at 2401 Crestview Drive, Oskaloosa, IA 52577.
Does Northern Mahaska Specialty Care have any deficiencies on record?
Yes, Northern Mahaska Specialty Care has 12 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Northern Mahaska Specialty Care received any fines or penalties?
Yes, Northern Mahaska Specialty Care has received 2 penalties totaling $47K.
Who owns Northern Mahaska Specialty Care?
Northern Mahaska Specialty Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Northern Mahaska Specialty Care last inspected?
The most recent health inspection for Northern Mahaska Specialty Care was on Nov 24, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Northern Mahaska Specialty Care?
Northern Mahaska Specialty Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.