Federal inspection record · CMS data as of October 1, 2026
Grandview Healthcare Center
800 Fifth Street SE, Oelwein, IA · (319) 283-1908
- Certified beds
- 72
- Residents per day
- 60
- Ownership
- For-Profit
- Chain
- Legacy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1997
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Grandview Healthcare Center carries 20 inspection points. That is fewer than 68% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning7E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Assess the resident when there is a significant change in condition
- B
Ensure each resident receives an accurate assessment.
- B
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Rights1D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Quality of Life and Care1D
- D
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.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-04-15
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-04-09
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-07-03
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
4 h 14 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 44% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.9 pts worse | 3.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 96.7% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 5.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts worse | 7.4% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts worse | 26.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 22.2% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better | 12.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better | 9.3% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse | 31.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 7.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better | 97.6% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.2 pts better | 7.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts worse | 4.5% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.4 pts better | 12.3% | 20.7% | 23.4% |
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Who owns and runs it
37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gorgona Sub Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 29 facilities |
| Allen, Craig | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Allen, Craig | Adp Of The SNF · Individual | 0% | 2 facilities |
| Beasley, Karla | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Behounek, Linsey | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Burken, Sheri | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Cascade Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Cascade Capital Partners LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ccg Gorgona LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Cook, Cassandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Deford, Colin | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Deford, Colin | Adp Of The SNF · Individual | 0% | 5 facilities |
| Friedenberg, Laura | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Friedman, Brian | Trustee Of The SNF · Individual | 0% | 28 facilities |
| Gorgona Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gorgona Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Gorgona Sub Holdco LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Hedberg, Jennifer | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Heying, Larina | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Houston, Mindy | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Jaeger, Krystle | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Larson, Melissa | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Mcclure, Dorothy | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Mn8 Rh Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Otterbeck, Patricia | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Rajchenbach, Avrum | Trustee Of The SNF · Individual | 0% | 27 facilities |
| Rajchenbach, Chaim | Operational/Managerial Control · Individual | 0% | 55 facilities |
| Rajchenbach, Rivka | Trustee Of The SNF · Individual | 0% | 28 facilities |
| Shabat, Ahuva | Trustee Of The SNF · Individual | 0% | 29 facilities |
| Shabat, Menachem | Corporate Officer · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shamp, Kayleigh | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shear, Kiley | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Operational/Managerial Control · Individual | 0% | 29 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Oelwein Health Care Center
Oelwein, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
Maple Crest Manor
Fayette, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 55 min
- Fines
- $0
-
Rehabilitation Centers of Independence West Campus
Independence, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 58 min
- Fines
- $22,740