Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Ossian Health Care And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with bipolar disorder, anxiety, chronic PTSD, and recurrent MDD, who was cognitively intact and had a PASRR Level II, was care planned to receive supportive counseling and mental health services related to a recent parental death. A psychotherapy assessment recommended and the resident agreed to psychotherapy 1–4 times monthly, and an initial note showed benefit from these services, but no psychotherapy visits were documented after that point. Despite psychiatry notes describing ongoing grief and encouraging psychotherapy, and the resident expressing a desire to talk with a therapist and requesting to see a priest, there was no documentation that counseling or grief services were provided or that services were refused, and no documented follow-through on spiritual support requests, contrary to facility policy requiring necessary behavioral health services.
A resident with severe cognitive loss and legal blindness began exhibiting confusion and wandering behaviors, including entering other residents' rooms and searching for family members. Despite multiple documented incidents, the care plan and Kardex were not updated to address these new risks, and staff were not informed of the changes, resulting in a failure to implement appropriate interventions to prevent accidents.
A resident with major depressive disorder, PTSD, and anxiety had a care plan that lacked identification of trauma triggers and did not include trauma-specific interventions. Staff, including a CNA, LPN, and Social Services Director, were unaware of the resident's triggers or the nature of the trauma, and the facility's policy requiring trigger identification was not followed.
A facility failed to ensure proper orders and monitoring for a resident's intrathecal pump (ITP) delivering morphine for pain management. The resident's care plan lacked details on the ITP medication and monitoring for side effects or infection. Nursing staff were unaware of the morphine use, and the MAR did not include instructions for observing morphine side effects. The DON and Executive Director admitted there were no current orders for the ITP upon the resident's return from the hospital, and the facility had not been monitoring for associated risks.
Failure to Provide and Document Behavioral Health and Grief Services
Penalty
Summary
The facility failed to provide necessary behavioral health services and grief support to a resident with multiple mental health diagnoses and a history of trauma-related conditions. The resident had diagnoses including bipolar disorder, anxiety disorder, chronic PTSD, and recurrent MDD, and was cognitively intact with a BIMS score of 15. The resident’s care plan, including a PASRR Level II without specialized services and a separate plan addressing the recent death of the resident’s mother, called for supportive counseling and offering mental health services as needed. A psychotherapy diagnostic assessment from 9/22/2025 indicated psychotherapy 1–4 times per month would be beneficial and that the resident was agreeable to this frequency. Psychotherapy notes from 10/21/2025 documented that the resident was participating in and benefiting from psychotherapy. However, there were no further psychotherapy notes after October 2025, and no documentation that the resident declined ongoing psychotherapy, despite the psychiatrist’s 2/17/2026 note encouraging the resident to speak with the psychotherapist about grief and the 4/6/2026 note indicating the resident was looking forward to talking with the psychotherapist. The resident reported that she had only met with the therapist a few times months earlier and did not know why the therapist stopped coming, and stated that no one from the facility or other grief service providers came to speak with her after her mother’s death, despite her requests to talk to someone and to see a priest. Progress notes on 4/3/2026 documented the resident’s request to see a priest after reporting she had lost faith when her mother passed away. The DON stated the therapist had not seen the resident since October 2025, that the therapist attempted a visit in November 2025 which the resident refused, and that the therapist did not document this refusal. The DSS acknowledged calling for a priest to see the resident but had no documentation of the earlier request and confirmed there was no documentation of counseling services provided to the resident after her mother’s death, despite her own verbal report of meeting with the resident. The facility’s policy dated 3/5/2024 required that all residents receive necessary behavioral health services to assist them in reaching and maintaining their highest level of mental and psychosocial functioning, which was not met in this case.
Failure to Update Care Plan and Interventions for Resident with New Wandering Behaviors
Penalty
Summary
The facility failed to identify and address accident risks for a resident who developed wandering behaviors and confusion. Despite multiple progress notes documenting the resident's confusion, wandering in the hallways, entering other residents' rooms, and searching for family members, the resident's care plan and Kardex were not updated to reflect these new behaviors. The resident, who had severe cognitive loss as indicated by a BIMS score of 4, legal blindness, and a diagnosis of memory loss, was observed by staff and other residents to be disoriented and in need of frequent redirection. The care plan interventions focused on fall risk and pain management, but did not address the resident's wandering or entry into other residents' rooms. Staff interviews confirmed that the resident did not have a history of wandering upon admission, but began exhibiting these behaviors during their stay. The facility's policy required that elopement and wandering risks be assessed and communicated to staff, and that care plans be updated accordingly. However, the resident's risk evaluation and care plan were not revised in response to the observed wandering and confusion, and staff were not made aware of these new risks through the Kardex. This lack of timely assessment and intervention resulted in the failure to prevent potential accidents related to the resident's wandering behavior.
Failure to Implement Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to implement trauma-informed care for a resident diagnosed with major depressive disorder, PTSD, and anxiety disorder. The resident's care plan identified issues related to past trauma, including angry outbursts, anxiety, changes in sleep, depression, emotional swings, and refusal of care. However, the care plan did not include any specific triggers or details about the resident's original trauma to help staff avoid re-traumatization. Interventions listed were general, such as encouraging participation in activities, providing time to express feelings, and consulting with psychological services, but lacked trauma-specific strategies. Interviews with staff revealed a lack of awareness and understanding regarding the resident's PTSD and associated triggers. A CNA was unaware of any residents with PTSD on her hallway, and an LPN only identified the diagnosis after reviewing the record, but could not specify any triggers or appropriate approaches. The Social Services Director also could not identify specific triggers or events leading to the resident's symptoms and only updated the care plan after an audit. The facility's policy required identification and mitigation of trauma triggers, but this was not reflected in the resident's care plan or staff knowledge at the time of the survey.
Failure to Manage Intrathecal Pump Orders and Monitoring
Penalty
Summary
The facility failed to ensure that an intrathecal pump (ITP) for a resident had appropriate orders and directions for use. The resident, who had a morphine pain pump implanted for back and foot pain, did not have the ITP documented in her medical records with the necessary orders for its management. The resident's care plan did not include the specific pain medication used in the ITP, nor did it include monitoring for morphine side effects or signs of infection related to the ITP. Interviews with nursing staff revealed a lack of awareness regarding the resident's use of the morphine pain pump. The resident's nurse was unaware of the morphine use and only mentioned other pain medications like ibuprofen and gabapentin. Additionally, the facility's Medication Administration Record (MAR) did not include instructions to observe or document side effects of morphine/opioid use or signs of infection from the ITP. The Director of Nursing (DON) and Executive Director acknowledged that there was no current order for the resident's morphine pain ITP upon her return from the hospital, and the facility had not been monitoring for potential side effects or infection risks associated with the ITP. The facility's policies did not provide guidance on medication orders upon readmission, contributing to the oversight in managing the resident's pain pump effectively.
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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 Ossian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Terrace Health Care Center | 7.8 mi | ★★★★★ | 30 | 0 |
| Majestic Care Of Fort Wayne | 8.9 mi | ★★★★★ | 2 | 0 |
| Christian Care Retirement Community | 9.1 mi | ★★★★★ | 7 | 0 |
| Markle Health & Rehabilitation | 9.6 mi | ★★★★★ | 1 | 0 |
| Lutheran Life Villages | 9.8 mi | ★★★★★ | 23 | 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.