Oelwein Health Care Center
600 Seventh Street Se · Oelwein, IA · 50662 · 3192832794
61 certified beds For profit - Corporation Chain: Legacy Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.93 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (11 in the current record)
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Potential for harm · D 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.
Corrected April 25, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 25, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Ensure each resident receives an accurate assessment.
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2026 · Quality of Life and Care
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Potential for harm · D 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.
Corrected April 25, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 25, 2026 · Infection Control
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Potential for harm · D March 27, 2025
Assess the resident when there is a significant change in condition
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
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No harm found · B March 27, 2025
Ensure each resident receives an accurate assessment.
Corrected April 26, 2025 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165341 · certified since August 11, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.