Oelwein Health Care Center
600 Seventh Street Se, Oelwein, IA 50662 · Fayette County · (319) 283-2794
61 certified beds, about 51 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165341 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 7 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 health citations since June 2024 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 3.07 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
32.5% 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.
006/24
403/25
703/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
1B
0C
March 26, 2026Standard inspection · 7 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, policy review, provider, family and staff interviews, the facility failed to notify the provider and family of a significant injury for 1 of 4 sampled residents (Resident #17). Staff identified an unexplained bruise to the resident's right eye on 3/15/26, but the facility didn't notify the medical provider or the family until 3/23/26, resulting in an 8-day delay. The facility identified a census of 51 residents.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a complete medical record for 2 of 4 sampled residents (Resident #4 and Resident #8) by failing to maintain copies of hospital transfer documentation in the clinical records. The facility reported a census of 51 residents.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review, document review, the Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Resident Assessment Instrument (RAI) Manual and staff interview, the facility failed to ensure the timely transmission of the Discharge Return Not Anticipated (DRNA) assessment for 1 of 2 sampled residents (Resident #34). The facility transmitted the assessment 118 days after the required completion date. The facility identified a census of 51 residents:
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, document review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Resident Assessment Instrument (RAI) Manual, provider and staff interviews, the facility failed to ensure an accurate picture of a resident's health status by coding a diagnosis that lacked a direct relationship to the resident's current status for 1 of 2 residents reviewed (Resident #7). The facility coded schizophrenia on the Minimum Data Set (MDS) (a resident assessment tool) based on 1990 medical records, despite a lack of supporting documentation from current providers. The facility identified a census of 51 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, document review, family, staff, and physician interviews, and policy review the facility failed to ensure clinical monitoring and physician notification for critical lab values and significant injuries for 3 of 10 sampled residents (Resident #5, Resident #25, and Resident #17). Specifically, the facility failed to notify providers of dangerously high and low blood sugar readings and failed to perform neurological assessments for a resident with an unexplained head injury. The facility reported a census of 51 residents.
- 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.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure that a resident with a high risk of aspiration and difficulty swallowing was fed only by licensed or certified staff for 1 of 2 residents reviewed (Resident #20). Specifically, the facility allowed Paid Nutritional Assistants (PNAs) to assist a resident who exhibited active coughing during meals. The facility reported a census of 51 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, policy review, Center for Disease Control and Prevention (CDC) Guidelines, resident and staff interviews, the facility failed to ensure proper hand hygiene and infection control practices were followed during the cleaning of a commode for 1 of 1 sampled residents (Resident #3). Specifically, staff failed to perform hand hygiene after glove removal, failed to properly sanitize a commode pan contaminated with fecal matter, and failed to wash hands for the required duration, creating a risk for the spread of infection. The facility reported a census of 51 residents.
March 27, 2025Standard inspection · 4 citations
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, the Centers for Medicare and Medicaid Services (CMS) Long term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to complete a Significant Change Status Assessment (SCSA) Minimum Data Set (MDS) Assessment timely upon hospice election for 1 of 2 residents reviewed on hospice services (Resident #2). The facility reported a census of 45 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review and staff interview the facility failed to revise and implement interventions on the comprehensive Care Plan to include hospice services for 1 of 2 residents reviewed on hospice services (Resident #2). The facility reported a census of 45 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and staff interview the facility failed to utilize proper food handling to prevent potential cross contamination of food to prevent risk of food borne illness for 3 out of 3 meals observed. The facility reported of census 45 residents.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, clinical record review, Long-Term Care (LTC) Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to ensure the Minimum Data Set (MDS) Assessment accurately reflected the health status of 1 of 4 residents reviewed for MDS accuracy (Resident #6). The facility identified a census of 45 residents.
June 19, 2024Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 2 on March 26, 2026, 4 on March 27, 2025, 3 on June 19, 2024.
Every fire safety citation9 citations
- F Conduct testing and exercise requirements.
- 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.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have simulated fire drills held at unexpected times.
- 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.
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) | 3.07 | 3.82 | 3.86 |
| Registered nurses | 0.35 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.37 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 32.5% | 44.0% | 45.8% |
| Registered nurse turnover | 40.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.10 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 3.19 on weekdays and 2.77 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.91 in April to June 2025 to 3.07 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 | 3.07 | 0.35 | 3.19 | 2.77 | 10.4% | 0 of 90 | 51 |
| Oct to Dec 2025 | 2.93 | 0.29 | 3.04 | 2.67 | 11.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 2.89 | 0.30 | 2.97 | 2.69 | 4.7% | 0 of 92 | 53 |
| Apr to Jun 2025 | 2.91 | 0.36 | 2.98 | 2.74 | 1.2% | 0 of 91 | 48 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 8.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.3 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.5 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: OELWEIN SEVENTH 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 |
|---|---|---|---|---|
| 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 | |
| Eschen, Lucinda | Operational/managerial control | Individual | 08/15/2024 | |
| 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 | 01/22/2025 | |
| Shabat, Menachem | Operational/managerial control | Individual | 01/22/2025 | |
| 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 | 01/22/2025 | |
| Rajchenbach, Avrum | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/04/2025 | |
| Doros Generation Trust U/a/D 1/3/12 | Trustee of the SNF | Organization | 08/15/2024 | |
| Friedman, Brian | Trustee of the SNF | Individual | 01/03/2012 | |
| 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 | 01/22/2025 | |
| Cascade Capital Partners LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Ccg Gorgona LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Gorgona Holdco LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Gorgona Propco Holdings LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Gorgona Sub Holdco LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Mn8 Rh Holdco LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Oelwein 7th Ia Property Holdings LLC | Adp of the SNF | Organization | 01/22/2025 | |
| Allen, Craig | Adp of the SNF | Individual | 08/15/2024 | |
| Beasley, Karla | Adp of the SNF | Individual | 08/15/2024 | |
| Behounek, Linsey | Adp of the SNF | Individual | 08/15/2024 | |
| Borcherding, Jenny | Adp of the SNF | Individual | 08/15/2024 | |
| Burken, Sheri | Adp of the SNF | Individual | 08/15/2024 | |
| Eschen, Lucinda | Adp of the SNF | Individual | 08/15/2024 | |
| Friedenberg, Laura | Adp of the SNF | Individual | 08/15/2024 | |
| Hedberg, Jennifer | Adp of the SNF | Individual | 08/15/2024 | |
| Heying, Larina | Adp of the SNF | Individual | 08/15/2024 | |
| Houston, Mindy | Adp of the SNF | Individual | 08/15/2024 | |
| Jaeger, Krystle | Adp of the SNF | Individual | 08/15/2024 | |
| Larson, Melissa | Adp of the SNF | Individual | 08/15/2024 | |
| McClure, Dorothy | Adp of the SNF | Individual | 08/15/2024 | |
| Otterbeck, Patricia | Adp of the SNF | Individual | 08/15/2024 | |
| Rajchenbach, Chaim | Adp of the SNF | Individual | 01/22/2025 | |
| Shabat, Menachem | Adp of the SNF | Individual | 01/22/2025 | |
| Shear, Kiley | Adp of the SNF | Individual | 08/15/2024 | |
| Van Veghel, Elizabeth | Adp of the SNF | Individual | 08/15/2024 | |
| Wierschem, Bobbie | Adp of the SNF | Individual | 01/22/2025 |
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 5 problems in this area, most recently on March 26, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "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."
- 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 March 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Grandview Healthcare Center Oelwein, 0.2 mi · 4 of 5 stars · 12 citations
- Maple Crest Manor Fayette, 12.8 mi · 3 of 5 stars · 9 citations
- Rehabilitation Centers of Independence West Campus Independence, 13.8 mi · 3 of 5 stars · 15 citations
- Buchanan County Health Center Independence, 14 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, 18.9 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, 21.4 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 Oelwein Health Care Center's Medicare star rating?
- CMS rates Oelwein Health Care Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oelwein Health Care Center get at its last inspection?
- 7 health deficiencies at the standard inspection on March 26, 2026. The Iowa average is 6.5.
- Has Oelwein Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Oelwein Health Care 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 Oelwein Health Care Center?
- CMS lists 54 owners and managers, and links the home to Legacy Healthcare. Legal business name: OELWEIN SEVENTH 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.