Clear Lake, IA

Oakwood Care Center

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

400 Highway 18 West, Clear Lake, IA

(641) 357-5244

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

76

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-10-01

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

0.46

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.06

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.30

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

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,885

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

Performance score

34.71

Composite VBP score used to determine payment impact.

Payment multiplier

0.9886

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.72

Baseline 19.85% · Performance 20.64% · Measure score 1.72 · Achievement 1.72 · Improvement 0

Healthcare-associated infections

2.11

Baseline 6.46% · Performance 7.21% · Measure score 2.11 · Achievement 2.11 · Improvement 0

Total nurse turnover

7.42

Baseline 50.00% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 6.13

Adjusted total nurse staffing

2.63

Baseline 3.38 hours · Performance 3.83 hours · Measure score 2.63 · Achievement 2.63 · Improvement 1.35

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.02%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 95 · Observed rate 8.42% · Lower 95% interval 6.76%
Discharge to community	54.32%	50.57% 3.8 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 50% · Lower 95% interval 44.13%
Medicare spending per beneficiary	0.74	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 67 · Denominator 67
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 67
Discharge self-care score	47.27%	53.69% 6.4 pts worse	Numerator 26 · Denominator 55
Discharge mobility score	52.73%	50.94% 1.8 pts better	Numerator 29 · Denominator 55
Pressure ulcers or injuries, new or worsened	2.99%	2.29% 0.7 pts worse	Numerator 2 · Denominator 67 · Adjusted rate 2.95%
Healthcare-associated infections requiring hospitalization	7.21%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 56 · Observed rate 7.14% · Lower 95% interval 3.92%
Staff COVID-19 vaccination coverage	33.33%	8.2% 25.1 pts better	Numerator 32 · Denominator 96
Staff flu vaccination coverage	31%	42% 11 pts worse	Numerator 31 · Denominator 100
Discharge function score	52.73%	56.45% 3.7 pts worse	Numerator 29 · Denominator 55
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	93.1%	96.28% 3.2 pts worse	Numerator 27 · Denominator 29
Resident COVID-19 vaccinations up to date	23.53%	25.2% 1.7 pts worse	Numerator 8 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.5 0.2 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	94.0% 5.5 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.1% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.8%	95.2% 0.4 pts worse	95.5% 0.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	3.7% 1 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 7.5% · Q3 4.2% · Q4 5.6% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	4.0% 3.5 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	6.9%	4.9% 2 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 11.6% · Q3 10.0% · Q4 2.2% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.9%	20.6% 7.3 pts worse	19.6% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 22.2% · Q3 29.3% · Q4 29.2% · 4Q avg 27.9%
Percentage of long-stay residents who received an antipsychotic medication	19.4%	19.8% 0.4 pts better	16.7% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 21.2% · Q3 21.2% · Q4 17.9% · 4Q avg 19.4% · 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	19.7%	18.5% 1.2 pts worse	16.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · 4Q avg 19.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.4%	18.3% 6.9 pts better	14.9% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 16.7% · Q3 2.6% · Q4 2.3% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.7% 1.2 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.9%	2.5% 0.4 pts worse	1.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.0% · Q3 2.1% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.7%	26.0% 4.7 pts worse	19.8% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 39.0% · Q3 23.7% · Q4 22.7% · 4Q avg 30.7%
Percentage of long-stay residents with pressure ulcers	4.1%	4.3% 0.2 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.3% · Q3 0.0% · Q4 6.2% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	84.3% 12.7 pts better	81.7% 15.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 98.2% · Q4 92.3% · 4Q avg 97.0%
Percentage of short-stay residents who had an outpatient emergency department visit	1.8%	13.1% 11.3 pts better	12.0% 10.2 pts better	Short Stay · 20240701-20250630 · Adjusted 1.8% · Observed 1.7% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.9% 1.1 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	14.3%	73.3% 59 pts worse	79.7% 65.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 14.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.3%	21.3% 3 pts worse	23.9% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 21.7% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-31 · Fire 2025-12-31

4 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-11-07 · Fire 2024-11-07

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2023-09-28 · Fire 2023-09-28

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-28

F · Potential for more than minimal harm 2024-11-07

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-12-12

E · Potential for more than minimal harm 2024-11-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-19

E · Potential for more than minimal harm 2024-11-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-11-07

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-13

F · Potential for more than minimal harm 2023-09-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-09-28

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-09-28

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-10

E · Potential for more than minimal harm 2023-09-28

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 2023-10-10

E · Potential for more than minimal harm 2023-09-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-10-17

E · Potential for more than minimal harm 2023-09-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-10-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-31

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-31

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-11-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-09

E · Potential for more than minimal harm 2024-11-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-07

D · Potential for more than minimal harm 2023-09-28

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 2023-10-28

D · Potential for more than minimal harm 2023-09-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-10-28

Penalties and ownership