Ossian, IA · Winneshiek County
★★☆☆☆CMS 2/546 bedsNon-profitMedicaid
- Nurse hours
- 4.63 /day
- Staff turnover
- 41%
- Serious cites
- 0
Ossian Care Center runs on 4.63 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover sits below the national rate. That combination is doing most of the work in its grade. The catch is weekends, when coverage drops about 18% from weekday levels, and a health inspection record carrying 19 deficiencies, three tied to abuse, though none reached harm or jeopardy. Inspectors were last in on January 22, 2026, and the 2/5 inspection rating is the weakest part of the file. The nursing care is there; the compliance history is the question mark.
Decorah, IA · Winneshiek County
★★★★☆CMS 4/556 bedsNon-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 48%
- Serious cites
- 0
Wellington Place runs on thinner staffing than most homes nationally, 3.47 nurse hours per resident day against a 3.86 average, and weekends dip about 16% below what it manages during the week, which matters when a resident needs help on a Saturday. The inspection record shows three deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $29,689; the most recent inspection was in August 2025, so that picture is current. Turnover sits at 48.1%, slightly above the national 45.8%, and the quality measure rating comes in at 1 out of 5 even as inspections and staffing each rate 4. The nonprofit ownership and recent survey work are the steadier parts here.
Decorah, IA · Winneshiek County
★★☆☆☆CMS 2/586 bedsNon-profitMedicaid
- Nurse hours
- 3.90 /day
- Staff turnover
- 53%
- Serious cites
- 0
The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.