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600 Seventh Street SE Oelwein, IA 50662 · Fayette County
All 2 nursing homes in Oelwein, IA (2 take Medicaid)
CMS certification number 165341 · See this home on Medicare Care Compare
Is Oelwein Health Care 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 Oelwein Health Care Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1.
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.
Staffing
Nursing staff spend about 3.12 hours per resident per day at Oelwein Health Care Center, below the Iowa median of 3.76 (US median: 3.72). About 0.33 of those hours are from registered nurses. On weekends it falls to 2.87 hours, 8% below its all-week average. 30.6% 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.
About this nursing home
Paying for care at Oelwein Health Care Center: Medicare and Medicaid
Oelwein Health Care 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 March 26, 2026 and found 7 deficiencies. In total, inspectors issued 11 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 11 citations at Oelwein Health Care Center across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (5) and nutrition and dietary (2). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level D, March 26, 2026).
March 26, 2026 · 7 citations
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure 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.
DProvide and implement an infection prevention and control program.
March 27, 2025 · 4 citations
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Oelwein Health Care Center
- What do families most often ask you about before moving in?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
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Location
Hospitals near Oelwein Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
Mercy Hospital of Franciscan Sisters-Oelwein OelweinEmergency roomMedian ER visit 2h 3m for patients treated and sent home
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13.9 mi
Buchanan County Health Center IndependenceEmergency roomMedian ER visit 1h 30m for patients treated and sent home
- 14.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Oelwein Health Care Center › All nursing homes in Oelwein ›
Compare Oelwein Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Grandview Healthcare Center · Oelwein · 4 stars · 0.2 mi
Other Legacy Healthcare nursing homes in Iowa
- Westview of Indianola Care Center · Indianola · 5 stars
- Rehabilitation Center of Hampton · Hampton · 5 stars
- Rehabilitation Center of Belmond · Belmond · 5 stars
- Westview Care Center · Britt · 5 stars
- Guttenberg Care Center · Guttenberg · 5 stars
- Valley Vue Care Center · Armstrong · 5 stars
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.