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Grandview Healthcare CenterCMS ratings, inspections and fines

Address
800 Fifth Street SE, Oelwein, IA 50662
CCN
165340
Ownership type
For-profit, limited liability company
Certified beds
72
Residents per day
60
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating4 of 5
Staffing rating3 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Grandview Healthcare Center an overall rating of 4 of 5 stars. The last standard survey was on 15 Apr 2026. The latest survey cycle has 3 health citations. The median for nursing homes in Iowa is 5. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Grandview Healthcare Center, with medians
Rating (1 to 5 stars)This homeFayette County medianIowa medianUS average (CMS)
Overall rating44.03.03.0
Health inspection rating44.03.02.8
Staffing rating33.04.02.9
Quality measure rating23.03.03.6

A median is the middle value of the homes in the group: 4 homes in the county, 387 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Grandview Healthcare Center in the last three survey cycles
Survey cycleStandard surveyCitationsIowa median
Cycle 1 (latest)15 Apr 202635
Cycle 29 Apr 202545
Cycle 3No date55

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 12 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 3 citations

Standard survey of this cycle: .

Health citations of Grandview Healthcare Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Apr 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey15 May 2026
15 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 May 2026
4 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation3 Jan 2026

Survey cycle 2: 4 citations

Standard survey of this cycle: .

Health citations of Grandview Healthcare Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Apr 2025F0688Provide 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.DStandard survey9 May 2025
9 Apr 2025F0760Ensure that residents are free from significant medication errors.DStandard survey9 May 2025
9 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey9 May 2025
29 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Nov 2024

Survey cycle 3: 5 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Grandview Healthcare Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
3 Jul 2024F0637Assess the resident when there is a significant change in conditionBStandard survey3 Aug 2024
3 Jul 2024F0641Ensure each resident receives an accurate assessment.BStandard survey3 Aug 2024
3 Jul 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.BStandard survey3 Aug 2024
3 Jul 2024F0803Ensure 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.DStandard survey3 Aug 2024
8 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Nov 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Grandview Healthcare Center
StaffThis homeIowa medianIowa average (CMS)
All nurse staff4.153.703.82
Registered nurses (RN)0.500.700.74
Licensed practical nurses (LPN)0.600.56
Nurse aides3.062.51
All nurse staff, weekends3.513.303.37
Nurse staff turnover in a year
27.0%
Nurse staff turnover, Iowa median
41.9%
RN turnover in a year
60.0%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Grandview Healthcare Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.2%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.5%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.2%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.0%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.5%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.1%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.9%18.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Oelwein Fifth IA Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 homes in the CMS chain file)
Organisations in the CMS ownership record of Grandview Healthcare Center
OrganisationRole in the CMS recordInterestSince
Gorgona Sub Holdco LLC5% or greater indirect ownership interest100%15 Aug 2024
Legacy Healthcare Financial Services LLCOperational/managerial control15 Aug 2024
Cascade Capital Holdings LLCAdp of the snf15 Aug 2024
Cascade Capital Partners LLCAdp of the snf15 Aug 2024
CCG Gorgona LLCAdp of the snf15 Aug 2024
Gorgona Holdco LLCAdp of the snf15 Aug 2024
Gorgona Propco Holdings LLCAdp of the snf15 Aug 2024
Gorgona Sub Holdco LLCAdp of the snf15 Aug 2024
Mn8 RH Holdco LLCAdp of the snf15 Aug 2024

The site shows organisations only. It does not show the names of persons.

Other homes in Fayette County

The 3 nearest other nursing homes in Fayette County, Iowa
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Oelwein Health Care CenterOelwein3 of 57$026 Mar 2026
Maple Crest ManorFayette4 of 52$022 May 2025
Good Samaritan - West UnionWest Union3 of 56$012 Mar 2026

All 4 nursing homes in Fayette County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Grandview Healthcare Center (CCN 165340). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/grandview-healthcare-center-oelwein-ia-165340/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Grandview Healthcare Center last inspected?
The latest inspection with a citation in the CMS record was on 15 Apr 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 9 Apr 2025.
Who operates Grandview Healthcare Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Legacy Healthcare. The CMS ownership file names Legacy Healthcare Financial Services LLC for operational or managerial control. This site does not show the names of persons.
Is Grandview Healthcare Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.