Oelwein Health Care Center
A nursing home in Oelwein, Iowa 50662
600 Seventh Street SE, Oelwein, Iowa 50662. (319) 283-2794.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle Iowa average: 6.6
- 3.12 nurse hours per resident per day Iowa average: 3.86
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Mar 26, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
11 citations in 2 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 11 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 26, 2026: standard inspection7 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure each resident receives an accurate assessment.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
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Provide and implement an infection prevention and control program.
Mar 27, 2025: standard inspection4 citations
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Assess the resident when there is a significant change in condition
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Ensure each resident receives an accurate assessment.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 11, 1997.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 61 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.12 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 3.12 | 3.86 |
| Of which registered nurses | 0.33 | 0.74 |
| At weekends | 2.87 | 3.38 |
| Nursing staff turnover | 30.6% | 44.1% |
| Registered nurse turnover | 40% | 42.1% |
| Administrators who left | 0 | Not given |
Who owns it?
- Iowa Portfolio OPCO Holdings LLC owns 100% directly since Aug 15, 2024.
- Legacy Healthcare Financial Services LLC runs it.
- 42 owners or officers are people: Mindy Houston (runs it (operational or managerial control)); Mindy Houston (additional disclosable party (controls, leases property to, or provides services to the home)); Larina Heying (runs it (operational or managerial control)); Larina Heying (additional disclosable party (controls, leases property to, or provides services to the home)); Jenny Borcherding (runs it (operational or managerial control)); Jenny Borcherding (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Friedman (trustee); Jennifer Hedberg (runs it (operational or managerial control)); Jennifer Hedberg (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Friedenberg (runs it (operational or managerial control)); Laura Friedenberg (additional disclosable party (controls, leases property to, or provides services to the home)); Menachem Shabat (corporate officer); Menachem Shabat (runs it (operational or managerial control)); Menachem Shabat (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Otterbeck (runs it (operational or managerial control)); Patricia Otterbeck (additional disclosable party (controls, leases property to, or provides services to the home)); Rivka Rajchenbach (trustee); Melissa Larson (runs it (operational or managerial control)); Melissa Larson (additional disclosable party (controls, leases property to, or provides services to the home)); Chaim Rajchenbach (runs it (operational or managerial control)); Chaim Rajchenbach (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Van Veghel (runs it (operational or managerial control)); Elizabeth Van Veghel (additional disclosable party (controls, leases property to, or provides services to the home)); Karla Beasley (runs it (operational or managerial control)); Karla Beasley (additional disclosable party (controls, leases property to, or provides services to the home)); Bobbie Wierschem (runs it (operational or managerial control)); Bobbie Wierschem (additional disclosable party (controls, leases property to, or provides services to the home)); Kiley Shear (runs it (operational or managerial control)); Kiley Shear (additional disclosable party (controls, leases property to, or provides services to the home)); Lucinda Eschen (runs it (operational or managerial control)); Lucinda Eschen (additional disclosable party (controls, leases property to, or provides services to the home)); Dorothy Mcclure (runs it (operational or managerial control)); Dorothy Mcclure (additional disclosable party (controls, leases property to, or provides services to the home)); Linsey Behounek (runs it (operational or managerial control)); Linsey Behounek (additional disclosable party (controls, leases property to, or provides services to the home)); Craig Allen (runs it (operational or managerial control)); Craig Allen (additional disclosable party (controls, leases property to, or provides services to the home)); Sheri Burken (runs it (operational or managerial control)); Sheri Burken (additional disclosable party (controls, leases property to, or provides services to the home)); Ahuva Shabat (trustee); Krystle Jaeger (runs it (operational or managerial control)); Krystle Jaeger (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Legacy Healthcare (96 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Iowa Portfolio OPCO Holdings LLC | Owns 5% or more directly | 100% | Aug 15, 2024 |
| Gpn Family Trust U/A/D 4/28/08 | Owns 5% or more through other companies | 45.5% | Aug 15, 2024 |
| Oakway Operations LLC | Owns 5% or more through other companies | 22.5% | Aug 15, 2024 |
| Gorgona Sub Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Oelwein 7th IA Property Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Mn8 Rh Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Legacy Healthcare Financial Services LLC | Runs it (operational or managerial control) | Aug 15, 2024 | |
| Legacy Healthcare Financial Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Cascade Capital Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Doros Generation Trust U/A/D 1/3/12 | Trustee | Aug 15, 2024 | |
| Ccg Gorgona LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Gorgona Propco Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Cascade Capital Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 | |
| Gorgona Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 22, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 24.4 miles, this one had the 4th most health citations at the latest inspection cycle (7; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Oelwein Health Care Center This nursing home | 7 | |
| Grandview Healthcare Center | 0.2 | 4 |
| Maple Crest Manor | 12.8 | 7 |
| Rehabilitation Centers of Independence West Campus | 13.8 | 4 |
| Buchanan County Health Center | 14.0 | 1 |
| Hillcrest Home | 16.1 | 8 |
| Strawberry Point Lutheran Home | 18.9 | 3 |
| Tripoli Nursing & Rehab | 20.4 | 2 |
| Good Samaritan - West Union | 21.4 | 6 |
| Denver Sunset Home | 21.8 | 2 |
| Northcrest Specialty Care | 23.7 | 11 |
| Pillar of Cedar Valley | 24.4 | 11 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.