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.

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

Inspection record 30% of score 70
Serious harm & abuse 20% 100
Staffing 20% 52
Federal penalties 15% 100
Trend 10% 29
Context 5% 100

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-day2.933.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day2.67≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)none

Inspection citations (11 in the current record)

  • 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

  • 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

  • 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

  • Potential for harm · D March 26, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 25, 2026 · Resident Assessment and Care Planning

  • 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

  • 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

  • Potential for harm · D March 26, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 25, 2026 · Infection Control

  • 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

  • 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

  • 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

  • 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

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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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.