Oelwein, IA

Oelwein Health Care Center

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

600 Seventh Street SE, Oelwein, IA

(319) 283-2794

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

61

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-08-11

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

0.30

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.45

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

2.89

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.75

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.69

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.22

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

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.51

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,801

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

Performance score

31.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

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

0

Performance 7.89% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

7.63

Baseline 33.33% · Performance 32.50% · Measure score 7.63 · Achievement 7.63 · Improvement 0.48

Adjusted total nurse staffing

1.87

Baseline 3.61 hours · Performance 3.61 hours · Measure score 1.87 · Achievement 1.87 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.99%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 2.78% · Lower 95% interval 6.47%
Discharge to community	33.72%	50.57% 16.9 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 20.69% · Lower 95% interval 20.23%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 27 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	34.62%	53.69% 19.1 pts worse	Numerator 9 · Denominator 26
Discharge mobility score	34.62%	50.94% 16.3 pts worse	Numerator 9 · Denominator 26
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.88%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.77%
Staff COVID-19 vaccination coverage	7.35%	8.2% 0.8 pts worse	Numerator 5 · Denominator 68
Staff flu vaccination coverage	56.79%	42% 14.8 pts better	Numerator 46 · Denominator 81
Discharge function score	42.31%	56.45% 14.1 pts worse	Numerator 11 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · 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	1.3	1.5 0.2 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.9%	94.0% 3.9 pts better	93.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 91.8% · Q3 100.0% · Q4 100.0% · 4Q avg 97.9%
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	7.0%	3.7% 3.3 pts worse	3.3% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.1% · Q3 6.7% · Q4 10.9% · 4Q avg 7.0% · 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	16.3%	4.9% 11.4 pts worse	5.4% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 13.3% · Q3 20.5% · Q4 19.6% · 4Q avg 16.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.5%	20.6% 2.1 pts better	19.6% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.8% · Q3 22.7% · Q4 17.4% · 4Q avg 18.5%
Percentage of long-stay residents who received an antipsychotic medication	5.1%	19.8% 14.7 pts better	16.7% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.9% · Q3 5.1% · Q4 5.3% · 4Q avg 5.1% · 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	5.9%	18.5% 12.6 pts better	16.3% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 7.1% · Q3 0.0% · Q4 2.6% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.5%	18.3% 8.8 pts better	14.9% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 9.8% · Q3 7.1% · Q4 6.8% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	2.5% 0.4 pts better	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.1% · Q3 4.4% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.8%	26.0% 1.2 pts better	19.8% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 28.0% · Q3 31.8% · Q4 17.2% · 4Q avg 24.8%
Percentage of long-stay residents with pressure ulcers	5.6%	4.3% 1.3 pts worse	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 8.5% · Q3 5.5% · Q4 5.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.1%	84.3% 3.8 pts better	81.7% 6.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.0% · Q3 86.4% · Q4 95.7% · 4Q avg 88.1%
Percentage of short-stay residents who had an outpatient emergency department visit	5.2%	13.1% 7.9 pts better	12.0% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.0% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.3%	21.3% 5 pts better	23.9% 7.6 pts better	Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 15.0% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-06-19 · Fire 2024-06-19

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

5 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-28

F · Potential for more than minimal harm 2025-03-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-03-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

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 2025-04-05

F · Potential for more than minimal harm 2024-06-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-06-19

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 2024-07-08

D · Potential for more than minimal harm 2024-06-19

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-01

F · Potential for more than minimal harm 2023-03-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-03-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-03-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-27

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-27

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 2025-04-26

B · Minimal harm 2025-03-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-26

D · Potential for more than minimal harm 2023-03-16

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-04-16

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

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Allen, Craig