Oelwein · 0.2 mi
Oelwein Health Care Center
3 of 5 · Medicare
View facility →Grandview Healthcare Center
⌖ Oelwein, IA · Fayette County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds72
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Grandview Healthcare Center
Grandview Healthcare Center is a 72-bed for-profit nursing home in Oelwein, IA. Medicare rates it 4 out of 5 stars overall (above average); the average in Iowa is 3.1.
- Inspections: 3 problems at its last full inspection (Apr 2026), fewer than the Iowa average of 6.5. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 09 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 27% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameGrandview Healthcare Center
LocationFayette County, Iowa
Phone(319) 283-1908
Address800 Fifth Street Se, Oelwein, IA 50662 · Fayette County
Medicare provider number165340
Ownership typeFor-profit (limited liability company)
Operating companyLegacy Healthcare · 95 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 1, 1997 (29 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Dec 2025No citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Apr 2026)Iowa average: 6.5.Strength
- Nursing staff turnover27% a yearIowa average: 44%Strength
About average
- Nurse staffing per resident4 hr 09 min a dayIowa average: 3 hr 49 minAbout average
Things to ask about
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- Registered nurse time per resident30 min a dayIowa average: 45 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs4.5%State average: 2.1%Worse than average
Physical therapist time: about 0 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 2 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.0%State average: 3.8%Worse than average
- Pressure sores (bedsores)8.1%State average: 4.2%Worse than average
- Given antipsychotic drugs22.9%State average: 19.5%About average
- Hospital stays per 1,000 resident days1.2State average: 1.5Better than average
Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 76% Medicaid
- 5% Medicare
- 20% Private pay, insurance and other
Beds in use, on average56%Iowa typical: 79%
Facility operating cost per resident day$401Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending June 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 4 stars now, the same as 4 stars in January 2019. It has ranged from 2 to 4 stars and changed 10 times.
Overall rating4★
Health inspections4★
Staffing3★
Quality of care2★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 4 | 4 | 6.1 |
| Jan 2020 | 3 | 4 | 4 | 1 | 4.9 |
| Jan 2021 | 3 | 3 | 4 | 1 | 5.2 |
| Jan 2022 | 3 | 4 | 4 | 1 | 6.2 |
| Jan 2023 | 3 | 4 | 4 | 1 | 5.8 |
| Jan 2024 | 3 | 4 | 4 | 1 | 5.2 |
| Feb 2025 | 3 | 4 | 4 | 1 | 5.1 |
| Feb 2026 | 4 | 4 | 2 | 4 | 4.0 |
| Sep 2026 | 4 | 4 | 3 | 2 | 4.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.