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 Ostrander Care And Rehab during CMS and state inspections, most recent first.
Failure to provide required Medicare non-coverage notices: A resident with Medicare Part A skilled services ending and private pay beginning did not have a signed or dated NOMNC or a signed SNFABN in the record. The NOMNC included an unsigned, undated note about speaking with a family member who was not the POA, and that family member did not recall any appeal discussion. The DON confirmed the SNFABN had not been presented for review and signature.
A facility failed to ensure proper PPE use during the care of a resident with an indwelling catheter. Despite the care plan and signage indicating the need for gowns and gloves during high-contact activities, two NAs did not wear gowns while transferring the resident or emptying the catheter bag. The DON confirmed that PPE should have been used according to the facility's EBP policy.
A facility failed to update a care plan for a resident with obstructive sleep apnea (OSA) who required nocturnal oxygen therapy. Despite staff confirming the resident's use of oxygen and associated anxiety without it, the care plan did not reflect the medical order for oxygen therapy. The director of nursing and administrator acknowledged the oversight, which violated the facility's policy on care plan updates.
A resident with obstructive sleep apnea and congestive heart failure was discharged to an ALF without necessary oxygen therapy, leading to hospitalization due to hypoxia. The facility failed to include the resident's oxygen needs in the discharge plan and did not ensure timely communication with the oxygen service provider, resulting in the resident being without oxygen for several days.
Failure to Provide Required Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to ensure that the Notice of Medicare Non-Coverage (NOMNC CMS-10123) and the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN CMS-10055) were provided to one resident, R30, who was reviewed for beneficiary notification. R30 was admitted with Medicare Part A as the primary payer, and Medicare Part A skilled services ended on 12/19/2025, with private pay beginning on 12/20/2025. Record review showed R30’s son was the care and financial power of attorney, but the NOMNC in the record was not signed or dated by the resident or representative. The NOMNC also contained an undated and unsigned handwritten note on page 2 stating that the facility spoke with family member A, the sister, and that the family did not want to appeal. The DON confirmed the handwritten note was hers. In a phone interview, family member A stated she was not the POA and did not recall any specific conversation with the DON about the possibility of appeal, stating they were just told therapy was going to stop. The facility was also unable to provide a signed copy of the SNFABN for review, and the DON stated the SNFABN had not been presented to R30’s family for review and signature.
Failure to Use Proper PPE During Resident Care
Penalty
Summary
The facility failed to ensure proper personal protective equipment (PPE) was used during transfers and catheter care for a resident with an indwelling catheter. The resident, who was cognitively intact, had a catheter due to pressure ulcers and decreased mobility. The care plan specified the use of enhanced barrier precautions (EBP) when emptying the catheter. An orange sign on the resident's door indicated that staff must wear gowns and gloves for high-contact resident care activities, including transfers and catheter care. During an observation, two nursing assistants (NAs) and a licensed practical nurse (LPN) were involved in the resident's care. The LPN and one NA wore gloves and gowns during a dressing change, but after the dressing change, the NAs did not wear gowns while transferring the resident using a mechanical lift or while emptying the catheter bag. The director of nursing/infection preventionist confirmed that gowns and gloves should have been worn during these activities. The facility's policy on EBP required PPE for high-contact care activities, including transferring and catheter care, to prevent the transmission of multidrug-resistant organisms.
Failure to Update Care Plan for Oxygen Therapy in Resident with OSA
Penalty
Summary
The facility failed to ensure that a comprehensive care plan was developed and implemented for a resident requiring oxygen therapy due to obstructive sleep apnea (OSA). The resident, who had intact cognition and a diagnosis of OSA, was ordered to start nocturnal oxygen at 1 liter per nasal cannula. However, the resident's care plan did not reflect this diagnosis or the medical provider's ordered intervention for oxygen therapy. Interviews with staff, including nursing assistants and a licensed practical nurse, confirmed that the resident used oxygen while sleeping and experienced anxiety without it. Despite this, the care plan was not updated to include these critical details. The director of nursing and the administrator both acknowledged that the care plan should have been updated to include the resident's oxygen use for OSA after it was ordered. The facility's policy on the formulation of resident care plans requires that care plans be updated quarterly or when significant changes occur, but this was not adhered to in this case. The lack of an updated care plan for the resident's oxygen therapy represents a deficiency in the facility's compliance with its own policies and procedures for resident care planning.
Failure to Coordinate Oxygen Therapy for Discharged Resident
Penalty
Summary
The facility failed to adequately plan and coordinate the discharge of a resident to an assisted living facility (ALF), resulting in the resident being without necessary oxygen therapy for several days. The resident, who had a history of obstructive sleep apnea (OSA) and congestive heart failure, required nocturnal oxygen therapy. Despite this, the resident's care plan did not include the diagnosis of sleep apnea or the prescribed oxygen therapy, nor did it include interventions to monitor for sleep apnea. Upon discharge, the resident was admitted to the ALF without oxygen services, leading to a hospitalization due to hypoxia and lightheadedness. Interviews with facility staff revealed that the resident used oxygen at night and became anxious without it. The discharge summary did not include arrangements for oxygen services, and the facility did not ensure that the necessary documentation and prescriptions were provided to the oxygen service provider in a timely manner. The Director of Nursing (DON) and the facility administrator acknowledged the oversight, with the DON assuming that the county case manager would arrange for the oxygen services. The oxygen service provider confirmed that they did not receive the necessary information to set up oxygen services until several days after the resident's discharge. This lack of coordination and communication resulted in the resident being without essential oxygen therapy, leading to a preventable hospitalization.
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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 Ostrander
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spring Valley Care Center | 6 mi | ★★★★★ | 15 | 0 |
| Meadow Manor | 9.5 mi | ★★★★★ | 5 | 0 |
| Stewartville Care Center | 17.1 mi | ★★★★★ | 2 | 0 |
| Riceville Family Care And Therapy Center | 19 mi | ★★★★★ | 5 | 0 |
| Chosen Valley Care Center | 20 mi | ★★★★★ | 2 | 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.