Grandview Healthcare Center – Oelwein, IA

CMS Verified | 2026-03-01

Grandview Healthcare Center

800 Fifth Street SE, Oelwein, IA 50662
(319) 283-1908
72 beds
All Oelwein facilities
4.0*
Overall
4.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
81.15
Score /100
#3173
National Rank

#3173
of 14703 facilities
National
78.4% position
#74
of 390 in IA
State Rank
#1
of 4 in Fayette
County Rank
#1
of 2 in Oelwein
City Rank
#1
of 2 in ZIP 50662
ZIP Rank






About Grandview Healthcare CenterGrandview Healthcare Center is located at 800 Fifth Street Se, Oelwein, IA, reachable at (319) 283-1908. This For profit – Corporation facility operates 72.0 certified beds and serves an average of 59 residents per day. It is part of the Legacy Healthcare network (90 facilities nationwide). Medicare and Medicaid services have been provided since 1997-08-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Grandview Healthcare Center

Address

800 Fifth Street Se, Oelwein, IA 50662

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 72 Certified Beds
  • Ownership: For profit – Corporation
  • Automatic Sprinklers: Yes
  • Network: LEGACY HEALTHCARE

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 0 fine(s) over 5 years
5-Year Trend
Improving over 5 years
81.15
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3173 of 14703 nationally – #74 of 390 in Iowa

Who Is This Facility Best For?

Grandview Healthcare Center is a strong choice for families in the Oelwein, IA area seeking a well-inspected, high-quality care environment. It performs well for short-stay and post-acute rehabilitation patients. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years. Its clean five-year compliance record adds confidence for families making this important decision.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

4 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightGrandview Healthcare Center currently provides 4 hours 2 minutes of total nurse staffing per resident per day, including 24 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 57 min/day (2022) to 24 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is 32.4%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 2 minutes
Nurse Aide Hours3 hours 5 minutes
Licensed Practical Nurse (LPN) Hours33 minutes
Registered Nurse (RN) Hours24 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 26 minutes
Weekend Registered Nurse (RN) Hours20 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryGrandview Healthcare Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 18.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,173
of 14,703
National
Top 22%
#74
of 390
IA State
Top 19% in IA
#1
of 4
️ Fayette County
Best in county
#1
of 2
️ Oelwein
Best in city
#1
of 2
ZIP 50662
Best in ZIP

Nationally, Grandview Healthcare Center ranks 3173rd out of 14,703 facilities (composite score: 81.2/100), placing it in the top 25% nationwide. Within IA, it ranks 74th out of 390 nursing homes. In Oelwein, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #4,651 nationally and RN hours rank #10,831 nationally (#344 in IA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 6.23 #313 / 14,703 #2 / 390 Top 5%
2023 5.83 #410 / 14,703 #10 / 390 Top 5%
2024 5.22 #872 / 14,703 #7 / 390 Top 10%
2025 5.05 #1,105 / 14,703 #18 / 390 Top 10%
2026 4.03 #4,651 / 14,703 #120 / 390 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 0.96 #2,394 / 14,703 #65 / 390 Top 25%
2023 0.79 #3,362 / 14,703 #123 / 390 Top 25%
2024 0.70 #4,458 / 14,703 #160 / 390 Above average
2025 0.72 #4,529 / 14,703 #170 / 390 Above average
2026 0.40 #10,831 / 14,703 #344 / 390 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Grandview Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (319) 283-1908 or your local Medicaid office to verify current eligibility.

Grandview Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 81.2/100, placing it #3173 of 14703 facilities nationally and #74 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Grandview Healthcare Center receives a reported average of 4 hours 2 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 33 minutes; Nurse Aide — 3 hours 5 minutes. On weekends, total nurse staffing is 3 hours 26 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 32.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

Grandview Healthcare Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 18.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Grandview Healthcare Center ranks 3173rd out of 14,703 facilities (composite score: 81.2/100), placing it in the top 25% nationwide. Within IA, it ranks 74th out of 390 nursing homes. In Oelwein, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #4,651 nationally and RN hours rank #10,831 nationally (#344 in IA). Our composite quality score of 81.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Oelwein, visit: https://nursinghomesnearme.org/iowa/oelwein/

Contact and Location

ADR
Address

800 Fifth Street SE, Oelwein, IA 50662
Get directions on Google Maps

TEL
LLC
Legal Name

OELWEIN FIFTH IA SKILLED NURSING FACILITY LLC

MAP
Browse by Location

All Iowa ·
Fayette County ·
Oelwein ·
ZIP 50662

Facility Details

Number of Certified Beds 72
Average Residents / Day 59 (82% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Fayette County, IA
City Oelwein, IA
ZIP Code 50662
Approved Since August 1, 1997
Resident Council nan
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 165340
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org