Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Southern Hills Specialty Care during CMS and state inspections, most recent first.
The facility was cited for failing to serve food in a sanitary manner for the third consecutive survey, with the QAPI policy lacking a process to address repeat deficiencies. Leadership was aware of ongoing dining room issues but had not implemented a corrective plan before the most recent survey, and previous efforts to resolve the problem had not been effective.
A CNA used a single, visibly soiled rocker knife to cut food for multiple residents without sanitizing the utensil between uses, despite facility protocols requiring the use of individual resident silverware to prevent cross contamination. Staff interviews confirmed this practice was contrary to training and expectations, and the DON acknowledged the incident as unacceptable.
Staff did not apply foot pedals to wheelchairs while transporting two residents, both with cognitive impairment and significant medical conditions, despite facility policy and staff acknowledgment that pedals should be used. In one case, a resident was transported without pedals due to staff oversight, and in another, a resident's preference for a single pedal was not properly documented or addressed.
Staff failed to disinfect a mechanical lift between use with three residents, did not wear required PPE gowns when transferring a resident on Enhanced Barrier Precautions with a urinary catheter, positioned a catheter bag above the bladder during transfer, and did not perform hand hygiene or change gloves between handling a urinary catheter and tube feeding equipment, all contrary to facility policy and staff training.
A staff member recorded a video of a resident with dementia without consent and sent it to another staff member via social media, including a degrading message. The resident was unable to provide consent due to cognitive impairment, and the facility's policy prohibits such recordings and transmissions. The incident was not documented in the resident's clinical notes, and the staff member who received the video reported the violation to facility leadership.
After a bed bug was found in a resident room, staff did not immediately follow the facility's bed bug protocol, including showering the resident, bagging clothing and linens, and sanitizing or removing furniture. The required pest control procedures were delayed for two days after the initial discovery.
The facility failed to prevent cross-contamination during meal service, as staff were observed using ungloved hands to handle food and drinks, and not performing hand hygiene between assisting residents. Interviews confirmed that these actions were against facility policy, which requires hand hygiene and avoiding direct contact with food.
Repeat Deficiency in Sanitary Food Serving Practices
Penalty
Summary
The facility failed to ensure an effective process for addressing previously identified quality deficiencies related to sanitary food serving practices. According to the CASPER report, the facility was cited for failing to serve food in a sanitary manner, resulting in an F0812 deficiency, for the third consecutive recertification survey. The QAPI policy, last revised in 2020, included a monitoring process but did not specify how to address repeat deficiencies. Despite leadership being aware of ongoing issues in the dining room prior to the most recent survey, no plan of action had been implemented before the survey began. Previous attempts to correct the sanitary serving issues were acknowledged as unsuccessful by the DON, who also serves as the Quality Assurance Officer.
Failure to Prevent Cross Contamination During Meal Service
Penalty
Summary
Staff M, a Certified Nurse Aide (CNA), was observed during a lunch meal using a crescent-shaped rocker knife to cut food for multiple residents without sanitizing the utensil between uses. After cutting food for the first resident, Staff M proceeded to use the same visibly soiled rocker knife to cut food for several other residents, including one who had already touched and licked her own food. The knife was carried uncovered through the dining hall and was not cleaned or sanitized at any point during the process. After finishing, Staff M placed the soiled knife in a dirty dish bin and continued to assist residents with eating. Interviews with other staff members, including another CNA and an LPN, confirmed that facility training instructs staff to use each resident's own silverware and to avoid sharing utensils between residents to prevent cross contamination. The Director of Nursing (DON) acknowledged awareness of the incident and confirmed that the practice observed was unacceptable and not in line with facility expectations. Facility documentation also indicated that all employees assisting with meals are required to be trained and demonstrate competency in safe food handling and prevention of foodborne illness.
Failure to Apply Wheelchair Foot Pedals During Resident Transport
Penalty
Summary
Staff failed to ensure that foot pedals were applied to residents' wheelchairs during transport for two residents. One resident, who had severely impaired cognition and multiple diagnoses including end-stage renal disease, Alzheimer's disease, COPD, and reduced mobility, was observed being transported in a wheelchair without foot pedals by a CNA. The resident's care plan indicated use of a manual wheelchair for long distances, and staff later acknowledged that pedals should have been used but were not considered due to the resident's usual independence with mobility. Another resident, with moderately impaired cognition, end-stage renal disease, non-Alzheimer's dementia, diabetes, and gait abnormalities, was also observed being transported in a wheelchair without foot pedals. This resident's care plan noted use of a wheelchair at times and a preference for only one pedal. Staff confirmed that all residents should have pedals when transported and that the resident's wheelchair had only one pedal per her request. The DON stated that staff should offer pedals and document any refusals. Facility policy required staff to be trained on accident hazards and to prevent avoidable accidents.
Failure to Disinfect Equipment and Use Proper PPE During Resident Transfers
Penalty
Summary
Staff failed to disinfect a mechanical lift between use with three different residents, as observed during transfers. The same lift was used consecutively for multiple residents without being sanitized in between, contrary to facility policy and staff statements that equipment should be disinfected after each use. Additionally, staff did not don appropriate personal protective equipment (PPE), specifically gowns, when transferring a resident on Enhanced Barrier Precautions (EBP) who had a suprapubic Foley catheter. Staff only wore gloves during the transfer and manipulated the resident's urinary catheter bag and tube feeding equipment without changing gloves or performing hand hygiene between tasks. During the transfer, the resident's catheter bag was positioned above the bladder, contrary to care plan instructions and facility policy, which require the bag to be kept below the bladder to prevent backflow. Staff interviews confirmed that gowns and gloves are required for such transfers and that failure to follow these protocols could be a source of infection. Facility policies reviewed also directed that reusable equipment be disinfected between residents and that standard precautions be used when handling urinary catheters.
Unauthorized Recording and Degrading Social Media Post of Resident with Dementia
Penalty
Summary
A staff member recorded a video of a resident with dementia wandering the halls and speaking to another resident without the resident's consent. The video was then sent via social media to another staff member, accompanied by a message referring to the resident in a degrading manner. The resident was unable to provide consent due to her diagnosis of unspecified dementia, unspecified severity. The facility's policy prohibits staff from recording or photographing residents without explicit written consent, and any unauthorized transmission of such images is considered a violation of resident rights. The policy also states that any image or recording that may be construed as humiliating or demeaning is considered resident abuse. The incident was not documented in the resident's progress notes, and the video was confirmed to have been sent by one staff member to another, neither of whom had a personal relationship outside of work. The staff member who received the video recognized the violation and reported it to the Assistant Director of Nursing, who then escalated the issue to facility leadership. The staff member who recorded and sent the video acknowledged her actions and admitted the message was degrading. The staff member had previously completed mandatory abuse reporter training and had a prior disciplinary record. The facility's policy and staff interviews confirmed that residents must not be recorded without consent, especially for personal use or entertainment.
Failure to Promptly Implement Bed Bug Protocol After Pest Discovery
Penalty
Summary
Staff failed to follow the facility's bed bug protocol after a bed bug was discovered in a resident room. On the evening of 2/19/25, a Certified Medication Aide (CMA) observed a bug on a recliner in a resident's room, collected it, and reported the finding to the nurse's station. Maintenance was notified, but instructions were given to leave the bug for maintenance to inspect the following day. The CMA did not bag the residents' clothing or shower the residents at that time, as she was unaware the bug was a bed bug. The facility's bed bug policy required immediate actions, including showering the resident, bagging and laundering clothing and linens, and sanitizing or removing furniture. These steps were not initiated until 2/21/25, two days after the initial discovery. The Administrator confirmed that the bed bug process was not followed promptly after the bug was found, and that the required procedures were delayed, resulting in a failure to implement the pest control protocol as outlined in facility policy.
Failure to Prevent Cross-Contamination During Meal Service
Penalty
Summary
The facility failed to serve meals in a manner that protects residents from cross-contamination, as observed during lunch meals on two separate days. On the first day, a Restorative Aide used her ungloved fingers to move ice from a Styrofoam cup into a resident's drink. Additionally, a Certified Nurse's Aide assisted three residents with eating without performing hand hygiene between each resident and served meals with her fingers touching the food. On the following day, another Certified Nurse's Aide provided feeding assistance to two residents without using hand hygiene between them. Interviews with staff members, including a Registered Nurse and the Director of Nursing, confirmed that the facility's policy requires staff to avoid touching residents' food and to perform hand hygiene before serving food and between assisting different residents. The facility's hand hygiene policy, last revised in August 2019, mandates washing hands after contact with a resident, before and after handling food, and before and after assisting a resident with meals. Despite these policies, the observations revealed non-compliance, leading to the deficiency.
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What surveyors actually found near you
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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 Osceola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westview Acres Care Center | 20.5 mi | ★★★★★ | 0 | 0 |
| Chariton Specialty Care | 24 mi | ★★★★★ | 3 | 0 |
| Westview Of Indianola Care Center | 24 mi | ★★★★★ | 0 | 0 |
| Good Samaritan - Indianola | 24.4 mi | ★★★★★ | 20 | 0 |
| Azria Health Winterset | 24.4 mi | ★★★★★ | 10 | 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 July 2026) and official state health department websites.