Federal inspection record · CMS data as of October 1, 2026

Oelwein Health Care Center

600 Seventh Street SE, Oelwein, IA · (319) 283-2794

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
61
Residents per day
54
Ownership
For-Profit
Chain
Legacy Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 11, 1997

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Oelwein Health Care Center carries 24 inspection points. That is fewer than 62% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 24 pts · 3★

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

11 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

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 Planning5D
  1. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    March 26, 2026 · Standard · F640 · Corrected April 25, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    March 26, 2026 · Standard · F641 · Corrected April 25, 2026

  3. D

    Assess the resident when there is a significant change in condition

    March 27, 2025 · Standard · F637 · Corrected April 26, 2025

  4. D

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

    March 27, 2025 · Standard · F657 · Corrected April 26, 2025

  5. B

    Ensure each resident receives an accurate assessment.

    March 27, 2025 · Standard · F641 · Corrected April 26, 2025

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 26, 2026 · Standard · F580 · Corrected April 25, 2026

  2. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 26, 2026 · Standard · F628 · Corrected April 25, 2026

Nutrition and Dietary2D
  1. D

    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

    March 26, 2026 · Standard · F811 · Corrected April 25, 2026

  2. D

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

    March 27, 2025 · Standard · F812 · Corrected April 26, 2025

Quality of Life and Care1D
  1. D

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

    March 26, 2026 · Standard · F684 · Corrected April 25, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 26, 2026 · Standard · F880 · Corrected April 25, 2026

Inspection history

  1. 2026-03-26

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2025-03-27

    4 health deficiencies · 4 fire-safety deficiencies

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

  3. 2024-06-19

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 7 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 7 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 40% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse1.71.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse3.11.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better100.0%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better98.1%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.9 pts worse8.8%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts better0.0%4.2%13.5%
Percentage of long-stay residents who lose too much weight7 pts worse11.4%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts better13.9%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication13 pts better6.8%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8 pts better7.2%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better7.7%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts better0.5%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9 pts better16.0%25.0%18.3%
Percentage of long-stay residents with pressure ulcers4.9 pts worse9.0%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better97.8%84.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts better9.6%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine54.4 pts worse20.0%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts worse27.1%20.7%23.4%

·

Who owns and runs it

54 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Allen, CraigOperational/Managerial Control · Individual0%2 facilities
Allen, CraigAdp Of The SNF · Individual0%2 facilities
Beasley, KarlaOperational/Managerial Control · Individual0%29 facilities
Beasley, KarlaAdp Of The SNF · Individual0%29 facilities
Behounek, LinseyOperational/Managerial Control · Individual0%29 facilities
Behounek, LinseyAdp Of The SNF · Individual0%29 facilities
Borcherding, JennyOperational/Managerial Control · Individual0%29 facilities
Borcherding, JennyAdp Of The SNF · Individual0%29 facilities
Burken, SheriOperational/Managerial Control · Individual0%30 facilities
Burken, SheriAdp Of The SNF · Individual0%30 facilities
Cascade Capital Holdings LLCAdp Of The SNF · Organization0%30 facilities
Cascade Capital Partners LLCAdp Of The SNF · Organization0%30 facilities
Ccg Gorgona LLCAdp Of The SNF · Organization0%29 facilities
Doros Generation Trust U/A/D 1/3/12Trustee Of The SNF · Organization0%76 facilities
Eschen, LucindaOperational/Managerial Control · Individual0%1 facilities
Eschen, LucindaAdp Of The SNF · Individual0%1 facilities
Friedenberg, LauraOperational/Managerial Control · Individual0%29 facilities
Friedenberg, LauraAdp Of The SNF · Individual0%29 facilities
Friedman, BrianTrustee Of The SNF · Individual0%28 facilities
Gorgona Holdco LLCAdp Of The SNF · Organization0%28 facilities
Gorgona Propco Holdings LLCAdp Of The SNF · Organization0%29 facilities
Gorgona Sub Holdco LLCAdp Of The SNF · Organization0%29 facilities
Hedberg, JenniferOperational/Managerial Control · Individual0%29 facilities
Hedberg, JenniferAdp Of The SNF · Individual0%29 facilities
Heying, LarinaOperational/Managerial Control · Individual0%29 facilities
Heying, LarinaAdp Of The SNF · Individual0%29 facilities
Houston, MindyOperational/Managerial Control · Individual0%30 facilities
Houston, MindyAdp Of The SNF · Individual0%30 facilities
Jaeger, KrystleOperational/Managerial Control · Individual0%29 facilities
Jaeger, KrystleAdp Of The SNF · Individual0%29 facilities
Larson, MelissaOperational/Managerial Control · Individual0%29 facilities
Larson, MelissaAdp Of The SNF · Individual0%29 facilities
Legacy Healthcare Financial Services LLCOperational/Managerial Control · Organization0%78 facilities
Legacy Healthcare Financial Services LLCAdp Of The SNF · Organization0%78 facilities
Mcclure, DorothyOperational/Managerial Control · Individual0%29 facilities
Mcclure, DorothyAdp Of The SNF · Individual0%29 facilities
Mn8 Rh Holdco LLCAdp Of The SNF · Organization0%28 facilities
Oelwein 7th Ia Property Holdings LLCAdp Of The SNF · Organization0%1 facilities
Otterbeck, PatriciaOperational/Managerial Control · Individual0%29 facilities
Otterbeck, PatriciaAdp Of The SNF · Individual0%29 facilities
Rajchenbach, AvrumIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%27 facilities
Rajchenbach, ChaimOperational/Managerial Control · Individual0%55 facilities
Rajchenbach, ChaimAdp Of The SNF · Individual0%55 facilities
Rajchenbach, RivkaTrustee Of The SNF · Individual0%28 facilities
Shabat, AhuvaTrustee Of The SNF · Individual0%29 facilities
Shabat, MenachemCorporate Officer · Individual0%86 facilities
Shabat, MenachemOperational/Managerial Control · Individual0%86 facilities
Shabat, MenachemAdp Of The SNF · Individual0%86 facilities
Shear, KileyOperational/Managerial Control · Individual0%29 facilities
Shear, KileyAdp Of The SNF · Individual0%29 facilities
Van Veghel, ElizabethOperational/Managerial Control · Individual0%29 facilities
Van Veghel, ElizabethAdp Of The SNF · Individual0%29 facilities
Wierschem, BobbieOperational/Managerial Control · Individual0%29 facilities
Wierschem, BobbieAdp Of The SNF · Individual0%29 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

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

    March 26, 2026 · K372 · Corrected April 1, 2026

  2. F

    Provide properly protected cooking facilities.

    March 27, 2025 · K324 · Corrected April 28, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 27, 2025 · K353 · Corrected March 27, 2025

  4. F

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

    March 27, 2025 · K372 · Corrected April 4, 2025

  5. D

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

    June 19, 2024 · K321 · Corrected July 8, 2024

  6. D

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

    June 19, 2024 · K355 · Corrected July 1, 2024

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    March 26, 2026 · E39 · Corrected April 28, 2026

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    March 27, 2025 · K914 · Corrected April 5, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    June 19, 2024 · K712 · Corrected July 25, 2024

·

Other homes nearby

  1. Grandview Healthcare Center

    Oelwein, IA · Legacy Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 14 min
    Fines
    $0
  2. Maple Crest Manor

    Fayette, IA

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 55 min
    Fines
    $0
  3. 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