Grandview Healthcare Center
800 Fifth Street Se, Oelwein, IA 50662 · Fayette County · (319) 283-1908
72 certified beds, about 60 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165340 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 12 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.15 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
27.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
111/23
407/24
110/24
304/25
112/25
204/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
0F
Potential for minimal harm
0A
3B
0C
April 15, 2026Standard inspection · 2 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review, the facility failed to ensure that 1 out of 5 residents reviewed for unnecessary medications was provided with education regarding the risks and benefits of psychotropic medications (Resident #33). Additionally, the facility failed to offer alternative treatment options prior to the administration of the medications. The facility reported a census of 59 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, staff interview, guidance from the 2025 Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual and facility policy review, the facility failed to develop and implement a timely, comprehensive care plan for one of fifteen residents (Resident #33) reviewed. The facility reported a census of 59 residents.
December 4, 2025Complaint inspection · 1 citation
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, policy review and staff interview the facility failed to follow physician orders by not giving medications within 1 hour before to 1 hour after the ordered time for 5 of 5 residents (Residents #1, #2, #3, #4, #5) reviewed. The facility reported a census of 58 residents.
April 9, 2025Standard inspection · 3 citations
- 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.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to apply hand splints and complete a passive range of motion Restorative Nursing Program (RNP) per the therapy discharge recommendations for 1 of 1 residents reviewed (Resident #7). The facility identified a census of 55 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to follow the manufacturer's directions for use in priming an insulin pen and proper administration of the insulin pen for 1 of 1 residents sampled (Resident #109). The facility reported a census of 55 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, resident and staff interviews, the facility failed to place a barrier between the foot and the bed linen for a wound treatment to prevent cross contamination for 1 of 1 residents reviewed. The facility reported a census of 55 residents.
October 29, 2024Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, the facility failed to administer a treatment as the physician ordered for one of three residents reviewed. (Resident #1). The facility reported a census of 53 residents.
July 3, 2024Standard inspection · 4 citations
- 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.
Inspectors wroteBased on clinical record review, document review, policy review, and staff interview the facility failed to serve the correct puree portion size for 2 of 6 residents sampled (Resident #26 and #19). Resident #26 and #19 were both documented as significant weight losses in the past six months (a significant weight loss is a 10% or greater weight loss in 6 months). The facility identified a census of 51 residents.
- B Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, Long Term Facility Resident Assessment Instrument 3.0 User's Manual version 1.18.1 Dated October 2023 (RAI), and staff interview the facility failed to complete Significant Change in Status (SCSA) Minimum Data Set (MDS) assessments in the required time frame for 2 of 2 residents reviewed for hospice (Residents #22 and #29). The facility reported a census of 51 residents.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, Long Term Facility Resident Assessment Instrument 3.0 User's Manual version 1.18.1 Dated October 2023 (RAI), and staff interview the facility failed accurately complete the Minimum Data Set (MDS) for 3 of 5 residents (Residents #5, #8 and #45). The facility failed to accurately code anticoagulant medications and Pre-admission Screening and Resident Reviews (PASRR). The facility reported a census of 51 residents.
- B Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to ensure 2 of 4 residents Pre-admission Screening and Resident Review (PASRR) was submitted for review (Residents #19 and #22). Resident #19 was approved for a short term 60 day stay in 2018 and new diagnoses were documented in her medical record the facility failed to resubmit for review of needed services. The facility failed to accurately complete the PASRR for Resident #22 prior to admission, omitting diagnoses and medications. The facility reported a census of 51 residents.
November 8, 2023Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, observation, policy review, and staff interview, the facility failed to report an allegation of resident abuse within 24 hours and to separate the resident from the alleged abuser for 1 of 4 residents sampled (Resident #1). The facility reported a census of 48 residents.
Fire safety inspections
10 fire safety citations on file: 2 on April 15, 2026, 4 on April 9, 2025, 4 on July 3, 2024.
Every fire safety citation10 citations
- F Conduct testing and exercise requirements.
- 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.
- 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.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.15 | 3.82 | 3.86 |
| Registered nurses | 0.50 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.37 | 3.42 |
| Nurse aides | 3.06 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 27.0% | 44.0% | 45.8% |
| Registered nurse turnover | 60.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.41 on weekdays and 3.51 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.44 in April to June 2025 to 4.15 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.15 | 0.50 | 4.41 | 3.51 | 11.4% | 0 of 90 | 60 |
| Oct to Dec 2025 | 4.05 | 0.47 | 4.30 | 3.43 | 8.1% | 0 of 92 | 60 |
| Jul to Sep 2025 | 4.03 | 0.40 | 4.26 | 3.43 | 6.9% | 1 of 92 | 59 |
| Apr to Jun 2025 | 4.44 | 0.46 | 4.79 | 3.59 | 5.1% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.5 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.9 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: OELWEIN FIFTH IA SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gorgona Sub Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 08/15/2024 |
| Shabat, Menachem | Corporate officer | Individual | 08/15/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 08/15/2024 | |
| Allen, Craig | Operational/managerial control | Individual | 08/15/2024 | |
| Beasley, Karla | Operational/managerial control | Individual | 08/15/2024 | |
| Behounek, Linsey | Operational/managerial control | Individual | 08/15/2024 | |
| Borcherding, Jenny | Operational/managerial control | Individual | 08/15/2024 | |
| Burken, Sheri | Operational/managerial control | Individual | 08/15/2024 | |
| Cook, Cassandra | Operational/managerial control | Individual | 08/15/2024 | |
| Deford, Colin | Operational/managerial control | Individual | 08/18/2025 | |
| Friedenberg, Laura | Operational/managerial control | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Operational/managerial control | Individual | 08/15/2024 | |
| Heying, Larina | Operational/managerial control | Individual | 08/15/2024 | |
| Houston, Mindy | Operational/managerial control | Individual | 08/15/2024 | |
| Jaeger, Krystle | Operational/managerial control | Individual | 08/15/2024 | |
| Larson, Melissa | Operational/managerial control | Individual | 08/15/2024 | |
| McClure, Dorothy | Operational/managerial control | Individual | 08/15/2024 | |
| Otterbeck, Patricia | Operational/managerial control | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Operational/managerial control | Individual | 08/15/2024 | |
| Shabat, Menachem | Operational/managerial control | Individual | 08/15/2024 | |
| Shamp, Kayleigh | Operational/managerial control | Individual | 08/15/2024 | |
| Shear, Kiley | Operational/managerial control | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Operational/managerial control | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Operational/managerial control | Individual | 08/15/2024 | |
| Friedman, Brian | Trustee of the SNF | Individual | 01/03/2012 | |
| Rajchenbach, Avrum | Trustee of the SNF | Individual | 04/28/2008 | |
| Rajchenbach, Rivka | Trustee of the SNF | Individual | 04/28/2008 | |
| Shabat, Ahuva | Trustee of the SNF | Individual | 01/03/2012 | |
| Cascade Capital Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Cascade Capital Partners LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Ccg Gorgona LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Propco Holdings LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Gorgona Sub Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Mn8 Rh Holdco LLC | Adp of the SNF | Organization | 08/15/2024 | |
| Allen, Craig | Adp of the SNF | Individual | 08/15/2024 | |
| Deford, Colin | Adp of the SNF | Individual | 08/18/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 15, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 9, 2025: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 9, 2025: "Ensure that residents are free from significant medication errors."
Other nursing homes nearby
- Oelwein Health Care Center Oelwein, 0.2 mi · 3 of 5 stars · 11 citations
- Maple Crest Manor Fayette, 12.7 mi · 3 of 5 stars · 9 citations
- Rehabilitation Centers of Independence West Campus Independence, 13.9 mi · 3 of 5 stars · 15 citations
- Buchanan County Health Center Independence, 14.1 mi · 5 of 5 stars · 12 citations
- Hillcrest Home Sumner, 16.1 mi · 3 of 5 stars · 19 citations
- Strawberry Point Lutheran Home Strawberry Point, 18.8 mi · 4 of 5 stars · 10 citations
- Tripoli Nursing & Rehab Tripoli, 20.4 mi · 2 of 5 stars · 25 citations
- Good Samaritan - West Union West Union, 21.2 mi · 3 of 5 stars · 13 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Grandview Healthcare Center's Medicare star rating?
- CMS rates Grandview Healthcare Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grandview Healthcare Center get at its last inspection?
- 2 health deficiencies at the standard inspection on April 15, 2026. The Iowa average is 6.5.
- Has Grandview Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Grandview Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Grandview Healthcare Center?
- CMS lists 37 owners and managers, and links the home to Legacy Healthcare. Legal business name: OELWEIN FIFTH IA SKILLED NURSING FACILITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.