PlainNursing
CMS Nursing Home Compare · March 2026

Grandview Healthcare Center

Grandview Healthcare Center is a for profit - corporation facility in Oelwein, IA with 72 certified beds and a 4-star overall CMS rating. The inspection file holds 11 deficiency records.

800 Fifth Street SE, Oelwein, IA 50662

Phone: 3192831908

Overall CMS Rating

4/5

vs 3.0 national avg

The verdict

Grandview Healthcare Center holds a 4-star CMS overall rating — well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall rating (nat'l avg 3.0)
4.03
Nursing hrs/resident-day (nat'l 3.89)
11
Inspection findings on file
$0
Federal penalties (0)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165340
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
72
Residents
59
In Hospital
No
County
Fayette
Last Inspection
Apr 9, 2025

Staffing Data

RN Hours
0.40 (nat'l avg: 0.68)
LPN Hours
0.54
CNA Hours
3.08
Total Nursing Hours
4.03 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
32.4%
RN Turnover
20.0%

What the CMS Record Reveals About Grandview Healthcare Center

Grandview Healthcare Center operates 72 certified beds in Oelwein, IA with approximately 59 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.03 total nursing hours per resident day (national average 3.89), with RN coverage at 0.40 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Grandview Healthcare Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.4%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

E — Pattern - Minimal harm Dec 4, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 3, 2026

D — Isolated - Minimal harm Apr 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 9, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 9, 2025 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Oct 29, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 29, 2024

D — Isolated - Minimal harm Jul 3, 2024 Tag: 0803

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 3, 2024

B — Pattern - No harm Jul 3, 2024 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 3, 2024

B — Pattern - No harm Jul 3, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 3, 2024

B — Pattern - No harm Jul 3, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 3, 2024

D — Isolated - Minimal harm Nov 8, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 16, 2023

D — Isolated - Minimal harm Mar 30, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 60.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Grandview Healthcare Center?
Grandview Healthcare Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at Grandview Healthcare Center?
Grandview Healthcare Center reports 4.03 total nursing hours per resident day (national average: 3.89). RN hours are 0.40 per resident day (national average: 0.68). Nursing staff turnover is 32.4%.
How many beds does Grandview Healthcare Center have?
Grandview Healthcare Center has 72 certified beds with approximately 59 residents. The facility is located at 800 Fifth Street SE, Oelwein, IA 50662.
Does Grandview Healthcare Center have any deficiencies on record?
Yes, Grandview Healthcare Center has 11 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Grandview Healthcare Center received any fines or penalties?
No, Grandview Healthcare Center has no fines or penalties on record.
Who owns Grandview Healthcare Center?
Grandview Healthcare Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Grandview Healthcare Center last inspected?
The most recent health inspection for Grandview Healthcare Center was on Apr 9, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Grandview Healthcare Center?
Grandview Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.