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C
Below Standard

Northern Mahaska Specialty Care

2401 Crestview Drive · Oskaloosa, IA 52577

6416733000 · Non profit - Corporation

79 beds75.9 residents106 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Northern Mahaska Specialty Care receives an overall staffing grade of C (Below Standard). With 3.1965 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4179 HPRD, below the recommended 0.75. It is 0.70 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.17% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1965 HPRD — needs 0.28 more hours per resident per day.
⚠️RN staffing (0.4179 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1965hrs/resident/day▼ 0.70
CMS benchmark: 3.48
RN HPRD
0.4179hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
15.17%
3.3397 weekday → 2.833 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.3214hrs/resident/day
Direct care aides
LPN HPRD
0.5911hrs/resident/day
Licensed practical nurses
Consistency
0.3365std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Mahaska County Average+0.05 HPRD
3.15
03.20 HPRD
vs. Iowa State Average-0.62 HPRD
3.82
03.20 HPRD
vs. National Average-0.70 HPRD
3.90
03.20 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Northern Mahaska Specialty Care ★
Oskaloosa · This facility
—
C
3.19650.4179★★☆☆☆
Montezuma Specialty Care
Montezuma
19.4 mi
C
3.15850.6464★★★★☆
Oakwood Specialty Care
ALBIA
22.4 mi
C
3.22070.5817★★★★☆
Stone Cottage Care Center
Sigourney
22.6 mi
C
3.17240.4577★☆☆☆☆
Manor House Care Center
Sigourney
22.7 mi
D
3.69590.3777★☆☆☆☆
Ridgewood Specialty Care
OTTUMWA
23.2 mi
C
3.19590.6603★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
12
Total Deficiencies
$46,989
Fines Assessed
Nov 24, 2025Health
4 deficiencies cited
▼
Feb 26, 2025Health
1 deficiency cited
▼
Jul 6, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 21, 2023Health
1 deficiency cited
▼
Aug 30, 2023Health
3 deficiencies cited
▼
May 10, 2023Health
2 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 6, 2024Fine
$39,033
May 10, 2023Fine
$7,956
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.