facebook tracking Grandview Healthcare Center, Oelwein IA: CMS Ratings
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Grandview Healthcare Center

All states › Iowa › Oelwein › Grandview Healthcare Center

800 Fifth Street SE Oelwein, IA 50662 · Fayette County

(319) 283-1908

All 2 nursing homes in Oelwein, IA (2 take Medicaid)

Accepts Medicare Accepts Medicaid 72 certified beds For profit

CMS certification number 165340 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Grandview Healthcare Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Grandview Healthcare Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Iowa average of 3.1. Inspectors issued 13 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.24 hours per resident per day at Grandview Healthcare Center, above the Iowa median of 3.76 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.65 hours, 14% below its all-week average. 29.6% of nursing staff left within a year (Iowa median 41.7%). That is lower than most homes in Iowa, a sign of a steadier team.

Nursing care per resident per day 4.24 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.65 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 29.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 44.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds72
Residents per day 60 About 84% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1997
Part of a chainLegacy Healthcare
Legal business nameOELWEIN FIFTH IA SKILLED NURSING FACILITY LLC

Paying for care at Grandview Healthcare Center: Medicare and Medicaid

Grandview Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 15, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 13 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 13 citations at Grandview Healthcare Center across 7 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 3 were minimal (A–C). The most common areas cited were resident assessment and care planning (7) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "ensure services provided by the nursing facility meet professional standards of quality" (tag F0658, level E, December 4, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 17, 2026 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Sep 16, 2026)

April 15, 2026 · 2 citations

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (May 15, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 15, 2026)

December 4, 2025 · 1 citation · includes complaint inspection

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 3, 2026)

April 9, 2025 · 3 citations

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (May 9, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (May 9, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 9, 2025)

October 29, 2024 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Nov 29, 2024)

July 3, 2024 · 4 citations

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Aug 3, 2024)

BAssess the resident when there is a significant change in condition

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Aug 3, 2024)

BEnsure each resident receives an accurate assessment.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Aug 3, 2024)

BCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Aug 3, 2024)

November 8, 2023 · 1 citation · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2023)

Questions to ask on a tour of Grandview Healthcare Center

  1. CMS cited the home under its abuse and neglect rules on November 8, 2023. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 3/5
August 2026 4/5 4/5 3/5 2/5
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Location

Hospitals near Grandview Healthcare Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Oelwein Health Care Center Oelwein · 0.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 61 beds · Medicaid
Maple Crest Manor Fayette · 12.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 4/5 46 beds · Medicaid
Rehabilitation Centers of Independence West Campus Independence · 13.9 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 70 beds · Medicaid
Buchanan County Health Center Independence · 14.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 39 beds · Medicaid
Hillcrest Home Sumner · 16.1 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 61 beds · Medicaid

More nursing homes near Grandview Healthcare Center ›   All nursing homes in Oelwein ›

Compare Grandview Healthcare Center with the 3 closest homes side by side ›

Other Legacy Healthcare nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/oelwein/grandview-healthcare-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.