Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Osage Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to submit accurate staffing data to CMS, missing 24/7 Licensed Nurse coverage on multiple dates. Despite having 24/7 coverage, the facility's new reporting program led to errors in the Payroll Base Journal, violating CMS requirements.
The facility's laundry area was found to have several environmental deficiencies, including uncovered soiled linen barrels, unsanitizable bare concrete floors, and grime build-up. The table for folding clean laundry was also unsanitizable due to missing laminate. Administrative staff confirmed these issues, noting that the maintenance and administration teams were new and working on addressing such concerns. The facility lacked a policy for maintenance and housekeeping in the laundry.
The facility failed to maintain sanitary conditions in its kitchen, with issues such as dried-on food in the microwave, sticky build-up on equipment, and food debris in storage areas. The facility lacked a policy for kitchen cleanliness, and dietary staff were responsible for maintaining cleanliness.
The facility failed to properly dispose of garbage and refuse by not ensuring the dumpster lid outside the kitchen was kept closed. Observations on two occasions revealed the lid was left open, and dietary staff confirmed the expectation for lids to be closed. The facility lacked a policy to ensure compliance, resulting in this deficiency.
The facility failed to provide appropriate catheter care for four residents, leading to potential infection risks. Residents with indwelling catheters were observed with tubing dragging on the floor, and staff did not consistently use catheter anchors. Despite care plans and staff knowledge indicating the need to keep catheter tubing off the floor and secure, these practices were not followed, compromising resident safety and hygiene.
The facility failed to maintain a safe and sanitary environment in the beauty shop, lacking an operational ventilation fan and containing unsanitary grooming tools. Administrative Staff A confirmed these issues, and there was no policy to address them.
A resident with major depressive disorder and intact cognition was not assisted by staff in changing her soiled clothing, despite expressing the importance of being neat and clean. Observations showed the resident wearing a dirty T-shirt with dried-on food, and staff interviews confirmed the expectation to change soiled clothing was not met. This failure violated the facility's dignity policy.
A facility failed to complete a comprehensive care plan for a resident with severe cognitive impairment and wandering behaviors, who was at risk for elopement. Despite previous evaluations indicating high risk and an elopement attempt, the care plan lacked specific instructions for staff. Interviews revealed staff were unaware of the resident's risk status, and the facility's policy for monitoring and managing elopement risks was not effectively implemented.
A resident with multiple health conditions, including cerebral palsy, was not provided with necessary services for personal hygiene, specifically bathing and shaving, despite being cognitively intact and expressing preferences for these activities. The resident had not been offered a bath or shave for several days, resulting in an unkempt appearance. Staff confirmed the need for assistance with ADLs, but the facility failed to adhere to its policy of maintaining grooming and personal hygiene for residents unable to perform these activities independently.
A resident with multiple health conditions, including severe cognitive impairment, was not provided with sanitary pressure ulcer care. The resident lacked dressings on pressure ulcers, and CNAs did not use PPE as required. Additionally, a licensed nurse failed to follow proper hand hygiene protocols during wound care, which could lead to infection and hinder healing.
A resident with dementia and severe cognitive impairment exhibited wandering behaviors, yet the facility failed to implement interventions to ensure a safe environment. Despite previous high-risk elopement evaluations, the care plan lacked specific instructions, and staff were unaware of the resident's risk status. The facility's policy for managing wandering residents was not effectively followed.
A facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) for a resident with chronic wounds, leading to a deficiency. The resident, with severe cognitive impairment and multiple diagnoses, required specific wound care and repositioning due to incontinence. During an observation, two CNAs transferred the resident without PPE, unaware of the EBP requirement. Later, LNs provided wound care with PPE, confirming the resident's EBP status. An Administrative Nurse stated staff had been informed about PPE procedures, but the CNAs did not comply.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) as required. Specifically, the facility did not accurately report 24-hour per day Licensed Nurse (LN) coverage on multiple dates between April 1, 2023, and September 30, 2023. The Payroll Base Journal (PBJ) Staffing Data Report for the third quarter of fiscal year 2023 revealed a lack of 24/7 LN coverage on eleven specific dates, and the fourth quarter report showed similar deficiencies on four additional dates. During an interview, Consultant Staff HH acknowledged the possibility of inaccurate submission of licensed nurse hours, despite the facility maintaining 24/7 LN coverage. The facility had initiated a new reporting program to address erroneous calculations of PBJ Licensed Nurse hours. However, the facility's policy, effective since 2022, required the electronic submission of complete and accurate staffing information, including agency and contract staff, based on verifiable and auditable data in a uniform format as specified by CMS. The failure to comply with these requirements resulted in the identified deficiencies.
Laundry Area Environmental Deficiencies
Penalty
Summary
The facility failed to maintain a safe, functional, and sanitary environment in the laundry area, as observed during a tour with Housekeeping/Laundry staff. Several environmental concerns were identified, including two uncovered soiled linen barrels, a concrete floor with missing paint/sealant exposing unsanitizable bare concrete, and a wall beside the washing machine with peeling sheetrock and a build-up of grime and dust. Additionally, the egress from the soiled linen/washroom to the clean linen room had grime build-up and rolled-up tape with grime and dust stuck to it. The table used for folding clean laundry was unsanitizable due to a missing laminate strip, exposing unsealed bare wood. Administrative staff confirmed these findings and noted that the maintenance and administration teams were new and working on addressing environmental concerns throughout the facility. However, the facility lacked a policy related to maintenance and housekeeping in the laundry.
Sanitation Deficiencies in Facility Kitchen
Penalty
Summary
The facility, with a census of 39 residents, was found to have failed in maintaining sanitary conditions in its kitchen, which could potentially lead to foodborne bacteria. During an initial tour of the resident kitchenette, several areas of concern were noted. These included a dried-on food substance inside the microwave, a sticky build-up on the stationary can opener, and a large amount of dried, sticky substance on the hand soap dispenser plate. Additionally, food debris was found on the bottom shelf of a prep table, and dust and small food particles were present inside drawers containing serving utensils. Further observations revealed a black, sticky substance in the tracks of sliding doors holding clean dishes, food debris in the reach-in refrigerator, and ground-in food on a wire cart holding clean plates and bowls. A wire rack for clean pots and pans had a sticky substance and dust, while a plastic cart for coffee filters and tea bags had a sticky substance inside. The storeroom's wire shelves were dusty, and the dish room's freezers had food debris, including in the rubber door seal. Additionally, a wire rack for disposable items and plastic rolling carts for dishes were found with sticky substances and food build-up. The facility lacked a policy for kitchen cleanliness, and administrative staff indicated that dietary staff were responsible for maintaining kitchen cleanliness.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility, with a census of 39 residents, failed to properly dispose of garbage and refuse by not ensuring that the lid of the dumpster outside the kitchen was kept closed. During an initial tour of the kitchen, it was observed on two separate occasions that the dumpster lid was left open. Dietary staff confirmed that it was the expectation for the dumpster lids to be kept closed at all times. However, the facility did not have a policy in place to ensure the lids remained closed, leading to this deficiency.
Failure to Provide Appropriate Catheter Care
Penalty
Summary
The facility failed to provide appropriate catheter care and treatment to prevent infection for four residents with indwelling catheters. Resident 27, who had chronic kidney disease, diabetes mellitus, hypertension, and cerebral palsy, was observed with his urinary catheter tubing laying directly on the floor beneath his wheelchair, with his foot resting on it. The resident reported that staff occasionally did not have catheter anchors available, and he had been treated for recurrent urinary tract infections. Staff interviews confirmed that the catheter bag and tubing should be positioned below the bladder and off the floor, and an anchor should be provided to prevent injury. Resident 14, diagnosed with chronic kidney disease, diabetes mellitus, and Parkinson's disease, was observed with catheter tubing dragging on the floor as he self-propelled his wheelchair. The care plan directed staff to change and care for his urinary catheter per physician orders and facility protocol. Staff interviews reiterated the importance of positioning the catheter bag and tubing below the bladder and off the floor to prevent infection. Resident 2, with neuromuscular dysfunction of the bladder and paraplegia, was observed with catheter tubing resting directly on the floor while in his wheelchair. The care plan instructed staff to ensure the tubing did not touch the floor. Similarly, Resident 16, with a neuromuscular disorder of the bladder, chronic kidney disease, and congestive heart failure, was observed with catheter tubing on the floor and without a catheter anchor in place. Staff interviews confirmed the expectation to secure catheter tubing with an anchoring device and maintain it off the floor to prevent trauma and risk of infection.
Deficiency in Beauty Shop Sanitation and Safety
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents using the beauty shop. During a tour, it was observed that the beauty shop lacked an operational negative pressure ventilation fan, which is essential for ensuring resident comfort when chemicals are used. Additionally, the filter on the free-standing dryer was covered in lint, and the workstation cabinet contained unsanitary items such as an unlabeled brush, comb, and a dual hair pick with hair in the bristles and teeth. Administrative Staff A confirmed these findings and acknowledged the unsanitary condition of the grooming tools. Furthermore, there was no policy in place to address these issues, contributing to the deficiency in maintaining a safe and sanitary environment for residents using the beauty shop.
Failure to Maintain Resident Dignity by Not Assisting with Clothing Change
Penalty
Summary
The facility failed to uphold the dignity and respect of Resident 22, who has a diagnosis of major depressive disorder with psychotic features and intact cognition, as evidenced by a BIMS score of 13 to 15. Despite being mostly independent with activities of daily living, the resident required staff assistance with dressing at times. On multiple occasions, staff did not assist the resident in changing her clothing when it became soiled with food, as observed on September 3rd and 4th, 2024. The resident expressed the importance of being neat and clean, yet was seen wearing a dirty T-shirt with dried-on food in the commons area and dining room. Interviews with staff, including CNAs and a licensed nurse, confirmed that the resident required assistance with dressing and that it was expected for staff to change residents' clothing when soiled. However, the resident's clothing was not changed until bedtime, despite visible food stains. The facility's policy on dignity, revised in August 2009, mandates that each resident be cared for in a manner that promotes quality of life, dignity, respect, and individuality. The facility's failure to assist the resident in changing her soiled clothing violated this policy.
Failure to Address Elopement Risk in Resident Care Plan
Penalty
Summary
The facility failed to complete a comprehensive care plan for Resident 12, who was at risk for elopement due to severe cognitive impairment and wandering behaviors. The resident's electronic medical record (EMR) indicated a diagnosis of dementia with a Brief Interview for Mental Status (BIMS) score of four, signifying severe cognitive impairment. Despite documented wandering behaviors and previous elopement evaluations indicating a high risk for elopement, the care plan revised on 06/06/24 lacked specific staff instructions regarding these behaviors. Additionally, an elopement attempt on 08/23/24 was documented without further follow-up or inclusion in the care plan. Interviews with facility staff revealed a lack of awareness and understanding regarding the resident's risk for elopement. Certified Nurse Aides (CNAs) and housekeeping staff were unsure of which residents were at risk and how to access this information. Licensed Nurse G and Administrative Nurse D indicated that elopement assessments were conducted upon admission and if an elopement attempt occurred, but the resident was not considered at risk according to their assessments. The facility's policy required systematic monitoring and management of residents at risk for elopement, including updating care plans with interventions to increase staff awareness, which was not adequately implemented for Resident 12.
Failure to Maintain Personal Hygiene for a Resident
Penalty
Summary
The facility failed to provide necessary services to maintain good personal hygiene for Resident 27, specifically related to bathing and shaving. Resident 27, who has diagnoses including chronic kidney disease, diabetes mellitus, hypertension, retention of urine, and cerebral palsy, was cognitively intact and expressed the importance of making choices regarding personal hygiene. Despite having no functional limitations in range of motion, the resident required staff assistance for activities of daily living (ADLs) due to a decline in functional abilities. The care plan directed staff to assist with shaving during showers, but the electronic medical record indicated that the resident had not been offered a bath or shave since 08/31/24, resulting in an unkempt appearance with scraggly facial hair. Observations and interviews revealed that the resident preferred to bathe after lunch and before supper on specific days and required an electric razor and mirror to shave himself. However, the staff did not accommodate these preferences, and the resident had not been shaved for seven days. Staff members, including a CNA and a licensed nurse, confirmed that the resident needed assistance with ADLs, including bathing and shaving, and should be shaved on scheduled shower days and as needed. The facility's policy stated that residents unable to perform ADLs should receive necessary services to maintain grooming and personal hygiene, which was not adhered to in this case.
Failure to Provide Sanitary Pressure Ulcer Care
Penalty
Summary
The facility failed to provide sanitary pressure ulcer care for a resident with multiple health conditions, including multiple sclerosis, diabetes, urinary incontinence, and schizophrenia. The resident, who was severely cognitively impaired and receiving hospice services, had a stage three pressure ulcer and a surgical wound upon admission. The care plan required repositioning and brief changes every two hours due to incontinence and a history of skin breakdown. However, during an observation, it was noted that the resident lacked dressings on the sacrum and ischium, and the CNAs did not use PPE as required for Enhanced Barrier Precautions. Further observation revealed that the licensed nurse did not follow proper hand hygiene protocols during wound care. The nurse changed gloves without sanitizing hands between cleansing and dressing the wounds, which is against the facility's policy for clean dressing changes. The administrative nurse confirmed that the expectation was for staff to maintain dressings and adhere to proper hand hygiene and PPE protocols. This failure to ensure sanitary wound care could potentially lead to infection and hinder wound healing.
Failure to Address Wandering Behaviors in Resident with Dementia
Penalty
Summary
The facility failed to initiate interventions to ensure a safe and secure environment for a resident with a history of wandering behaviors. The resident, diagnosed with dementia and severe cognitive impairment, exhibited wandering behavior one to three days during assessment periods. Despite being identified as high risk for elopement in previous evaluations, the care plan lacked specific instructions regarding wandering behaviors. An incident on 08/23/24 documented the resident's attempt to elope, but no further documentation or interventions were noted. Staff interviews revealed a lack of awareness and understanding of which residents were at risk for elopement. Certified Nurse Aides and housekeeping staff were unsure of how to identify residents at risk, and the care plan did not reflect the resident's wandering behavior. The facility's policy required a systematic approach to managing residents at risk for elopement, including adding interventions to care plans and communicating them to staff, which was not effectively implemented in this case.
Failure to Follow Enhanced Barrier Precautions for Resident with Chronic Wounds
Penalty
Summary
The facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) for a resident with chronic wounds, which is necessary to prevent the spread of infection. The resident, who had multiple diagnoses including multiple sclerosis, diabetes, urinary incontinence, and schizophrenia, was assessed with severe cognitive impairment and had a stage three pressure ulcer and a surgical wound. The care plan required repositioning and brief changes every two hours due to incontinence and a history of skin damage. Physician orders specified wound care procedures for the resident's sacrum and ischium wounds. During an observation, two Certified Nurse Aides (CNAs) transferred the resident without donning Personal Protective Equipment (PPE), despite the resident being on EBP due to wounds. The CNAs were unaware of the EBP requirement, and the resident was found without dressings on her wounds. Later, two Licensed Nurses (LNs) provided wound care with appropriate PPE, confirming the resident's EBP status. An interview with an Administrative Nurse revealed that staff had been informed about the PPE procedures for this resident, yet the CNAs did not comply, leading to the deficiency.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 15 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Osage City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookside Retirement Community | 17.2 mi | ★★★★★ | 1 | 1 |
| Eskridge Care And Rehab | 22.1 mi | ★★★★★ | 14 | 0 |
| Holiday Resort | 25.6 mi | — | 0 | 0 |
| Emporia Presbyterian Manor | 26 mi | ★★★★★ | 16 | 0 |
| Flint Hills Care And Rehabilitation Center | 26 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 July 2026) and official state health department websites.