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Nursing homes owned by Oakway Operations LLC

The CMS ownership file lists Oakway Operations LLC with an ownership interest in 44 certified nursing homes with 4,775 beds in Iowa (16), Illinois (15), South Dakota (13).

Average overall
2.7 of 5
Fines, 3 years
$1,868,669
Special focus
1 + 1 candidates
Abuse icon
8 homes

CMS ownership and Care Compare data as of September 1, 2026

What the ownership file says

CMS lists Oakway Operations LLC as a direct owner of 34 homes, indirect owner of 10 homes, and with operational or managerial control of 1 home. Its earliest ownership association date on file is July 1, 2015, the latest October 1, 2025.

An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.

CMS also groups homes on this list into the chains Legacy Healthcare (42) and Pearl Healthcare (1).

The homes' record in brief

43 of the 44 homes have a CMS overall rating, averaging 2.7 stars against a national average of 3. 44 are for profit, 0 nonprofit; 44 are certified for Medicaid.

Across the inspections on file the homes carry 1,179 health citations; 127 citations were rated actual harm or immediate jeopardy, 12 immediate jeopardy. At their latest standard inspections they averaged 6.6 health deficiencies (national 9.2).

29 homes were fined in the last three years, $1,868,669 across 67 fines. Average nursing staff turnover was 50.3% (national 45.8%).

Staffing at these homes, January to March 2026

Hours per resident per dayThese homesUnited States
All nursing staff3.473.75
Registered nurses0.820.62
Weekdays3.573.92
Weekends3.223.33
Share of nursing hours by contract staff14.9%5.3%

Daily payroll records of 44 homes, summed. Weekends ran 10% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.

Every home it owns

HomeCityStateRole in the CMS fileShareOverallCitationsFines
Rehabilitation Center of AllisonAllisonIA Indirect owner, since August 2024 317
Valley Vue Care CenterArmstrongIA Indirect owner, since August 2024 511
Rehabilitation Center of BelmondBelmondIA Indirect owner, since August 2024 511
Harmony Cedar RapidsCedar RapidsIA Direct owner (5% or more), since April 202315% 224$10,509
Oakwood Care CenterClear LakeIA Indirect owner, since August 2024 317
Harmony DavenportDavenportIA Direct owner (5% or more), since April 202315% 228
Harmony Utica RidgeDavenportIA Direct owner (5% or more), since April 202315% 234$51,292
Harmony DubuqueDubuqueIA Direct owner (5% or more), since April 202315% 228$19,371
Rehabilitation Center of LisbonLisbonIA Indirect owner, since August 2024 43
Heritage Care and Rehabilitation CenterMason CityIA Indirect owner, since August 2024 27
Hallmark Care CenterMount VernonIA Indirect owner, since August 2024 218
Rolling Green Village Care CenterNevadaIA Indirect owner, since August 2024 316$9,347
Nora Springs Care CenterNora SpringsIA Indirect owner, since August 2024 310
Harmony WaterlooWaterlooIA Direct owner (5% or more), since April 202315% 122$95,440
Southfield Wellness CommunityWebster CityIA Additional disclosable party; Indirect owner, since August 2024 163$71,897
Harmony West Des MoinesWest Des MoinesIA Direct owner (5% or more), since April 202315% 146
Avantara AuroraAuroraIL Direct owner (5% or more), since November 202015% 423
Warren Barr Buffalo GroveBuffalo GroveIL Direct owner (5% or more), since June 202315% 238$9,311
Avantara Lincoln ParkChicagoIL Direct owner (5% or more), since October 202315% 258$202,448
Harmony Healthcare & Rehab CtrChicagoIL Direct owner (5% or more), since December 202312% 533$5,244
Whitehall of DeerfieldDeerfieldIL Direct owner (5% or more), since August 202212% 328
The Pearl of Fox River ValleyElginIL Direct owner (5% or more), since October 201815% 330$142,448
Glenview TerraceGlenviewIL Direct owner (5% or more), since December 202312% 317$67,830
Avantara JolietJolietIL Direct owner (5% or more), since October 202515% 240$33,535
Avantara LibertyvilleLibertyvilleIL Direct owner (5% or more), since February 202315% 423$26,130
Warren Barr Oak LawnOak LawnIL Direct owner (5% or more); Operational or managerial control, since February 202315% 428
Harmony PalosPalos HeightsIL Direct owner (5% or more), since February 202315% 239$25,874
Harmony Park RidgePark RidgeIL Direct owner (5% or more), since October 202515% 145$224,934
Alpine Care of St. Charles LLCSaint CharlesIL Direct owner (5% or more), since August 201815% 338$9,110
Bella Terra StreamwoodStreamwoodIL Direct owner (5% or more), since December 201915% 516
Bella Terra WheelingWheelingIL Direct owner (5% or more), since December 201915% 519$28,054
Avantara Clark CityClarkSD Direct owner (5% or more), since July 201515% 47$11,057
Avantara GrotonGrotonSD Direct owner (5% or more), since July 201915% 222$6,168
Avantara HuronHuronSD Direct owner (5% or more), since October 201915% 222$8,338
Avantara Lake NordenLake NordenSD Direct owner (5% or more), since July 201915% 57
Avantara MilbankMilbankSD Direct owner (5% or more), since July 201915% 130$125,981
Avantara PierrePierreSD Direct owner (5% or more), since July 201915% 236$22,048
Avantara ArrowheadRapid CitySD Direct owner (5% or more), since July 201915% 145$153,583
Avantara Mountain ViewRapid CitySD Direct owner (5% or more), since July 201915% 222$38,613
Avantara NorthRapid CitySD Direct owner (5% or more), since July 201915% 317$24,108
Avantara Saint CloudRapid CitySD Direct owner (5% or more), since July 201915% 217$39,131
Avantara RedfieldRedfieldSD Direct owner (5% or more), since July 201915% 217$23,044
Avantara Norton (Special Focus Facility)Sioux FallsSD Direct owner (5% or more), since October 201915% n/a75$312,233
Avantara WatertownWatertownSD Direct owner (5% or more), since July 201915% 132$71,591

Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.

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