Oelwein, IA

Grandview Healthcare Center

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

800 Fifth Street SE, Oelwein, IA

(319) 283-1908

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

72

Certified beds

Average residents

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.08

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.03

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.95

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.43

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.28

CMS adjusted total nurse staffing hours

Case-mix index

1.68

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,306

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.32

Composite VBP score used to determine payment impact.

Payment multiplier

1.0044

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.60

Performance 6.76% · Measure score 3.60 · Achievement 3.60 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

7.53

Baseline 45.68% · Performance 32.90% · Measure score 7.53 · Achievement 7.53 · Improvement 5.64

Adjusted total nurse staffing

3.97

Baseline 5 hours · Performance 4.21 hours · Measure score 3.97 · Achievement 3.97 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.51%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 7.14% · Lower 95% interval 6.76%
Discharge to community	49.27%	50.57% 1.3 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 48.48% · Lower 95% interval 38.41%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	96.55%	95.27% 1.3 pts better	Numerator 28 · Denominator 29
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 29
Discharge self-care score	33.33%	53.69% 20.4 pts worse	Numerator 7 · Denominator 21
Discharge mobility score	42.86%	50.94% 8.1 pts worse	Numerator 9 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.76%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3.13%
Staff COVID-19 vaccination coverage	0.83%	8.2% 7.4 pts worse	Numerator 1 · Denominator 120
Staff flu vaccination coverage	37.39%	42% 4.6 pts worse	Numerator 43 · Denominator 115
Discharge function score	61.9%	56.45% 5.4 pts better	Numerator 13 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.1 0.5 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.7% 1.2 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.0% · Q3 0.0% · Q4 3.7% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	2.8%	4.9% 2.1 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 4.4% · Q4 4.3% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.1%	20.6% 6.5 pts worse	19.6% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 29.8% · Q3 24.4% · Q4 23.4% · 4Q avg 27.1%
Percentage of long-stay residents who received an antipsychotic medication	26.0%	19.8% 6.2 pts worse	16.7% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 25.6% · Q3 26.3% · Q4 28.1% · 4Q avg 26.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.4%	18.5% 11.1 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q2 10.5% · Q3 4.3% · Q4 13.7% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.3%	18.3% 11 pts better	14.9% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 5.7% · Q3 2.9% · Q4 11.1% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.2%	1.7% 1.5 pts worse	1.0% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.6% · Q3 3.0% · Q4 4.9% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	2.5% 1 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.0% · Q3 3.9% · Q4 5.7% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	26.0% About the same	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 32.3% · Q3 17.2% · Q4 30.9% · 4Q avg 26.0%
Percentage of long-stay residents with pressure ulcers	9.7%	4.3% 5.4 pts worse	5.1% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.0% · Q3 8.1% · Q4 13.2% · 4Q avg 9.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.9%	84.3% 10.6 pts better	81.7% 13.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 91.7% · Q3 95.5% · Q4 100.0% · 4Q avg 94.9%
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	1.9% 2 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	73.3% 13.3 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

4 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-07-03 · Fire 2024-07-03

5 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-03-30 · Fire 2023-03-30

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-04-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-04-09

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-17

F · Potential for more than minimal harm 2024-07-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-24

F · Potential for more than minimal harm 2024-07-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-07-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-07-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-22

F · Potential for more than minimal harm 2023-03-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-12

F · Potential for more than minimal harm 2023-03-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-30

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-04-12

E · Potential for more than minimal harm 2023-03-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-03

D · Potential for more than minimal harm 2025-04-09

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-09

D · Potential for more than minimal harm 2024-10-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-07-03

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-08-03

B · Minimal harm 2024-07-03

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-08-03

B · Minimal harm 2024-07-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-03

B · Minimal harm 2024-07-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-03

D · Potential for more than minimal harm 2023-11-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-16

D · Potential for more than minimal harm 2023-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-15

Penalties and ownership

What sits behind the stars

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Allen, Craig