Federal inspection record · CMS data as of October 1, 2026
Oelwein Health Care Center
600 Seventh Street SE, Oelwein, IA · (319) 283-2794
- 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.
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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
★★★★★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.
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.
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 Planning5D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nutrition and Dietary2D
- 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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-03-26
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-03-27
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 3.1 | 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 vaccine2.3 pts better | 98.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.9 pts worse | 8.8% | 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 weight7 pts worse | 11.4% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts better | 13.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13 pts better | 6.8% | 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 worsened8 pts better | 7.2% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better | 7.7% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.5% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9 pts better | 16.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.9 pts worse | 9.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better | 97.8% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts better | 9.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine54.4 pts worse | 20.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts worse | 27.1% | 20.7% | 23.4% |
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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
| Name | Role | Share | Homes |
|---|---|---|---|
| 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 |
| Beasley, Karla | Adp Of The SNF · Individual | 0% | 29 facilities |
| Behounek, Linsey | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Behounek, Linsey | Adp Of The SNF · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Borcherding, Jenny | Adp Of The SNF · Individual | 0% | 29 facilities |
| Burken, Sheri | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Burken, Sheri | Adp Of The SNF · 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 |
| Doros Generation Trust U/A/D 1/3/12 | Trustee Of The SNF · Organization | 0% | 76 facilities |
| Eschen, Lucinda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Eschen, Lucinda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Friedenberg, Laura | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Friedenberg, Laura | Adp Of The SNF · 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 |
| Hedberg, Jennifer | Adp Of The SNF · Individual | 0% | 29 facilities |
| Heying, Larina | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Heying, Larina | Adp Of The SNF · Individual | 0% | 29 facilities |
| Houston, Mindy | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Houston, Mindy | Adp Of The SNF · Individual | 0% | 30 facilities |
| Jaeger, Krystle | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Jaeger, Krystle | Adp Of The SNF · Individual | 0% | 29 facilities |
| Larson, Melissa | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Larson, Melissa | Adp Of The SNF · Individual | 0% | 29 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Mcclure, Dorothy | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Mcclure, Dorothy | Adp Of The SNF · Individual | 0% | 29 facilities |
| Mn8 Rh Holdco LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Oelwein 7th Ia Property Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Otterbeck, Patricia | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Otterbeck, Patricia | Adp Of The SNF · Individual | 0% | 29 facilities |
| Rajchenbach, Avrum | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Rajchenbach, Chaim | Operational/Managerial Control · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Adp Of The SNF · 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 |
| Shabat, Menachem | Adp Of The SNF · Individual | 0% | 86 facilities |
| Shear, Kiley | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Shear, Kiley | Adp Of The SNF · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Van Veghel, Elizabeth | Adp Of The SNF · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Wierschem, Bobbie | Adp Of The SNF · Individual | 0% | 29 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Grandview Healthcare Center
Oelwein, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 14 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