Oelwein Health Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 10 Google reviews

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What this means for your family
While the facility has a history of strong, family-oriented care, recent reviews suggest a shift in quality following a change in ownership. We recommend scheduling a tour to observe current staff-to-resident interactions and asking management directly about how they have maintained continuity of care during the transition.
Google Reviews
Google Reviews
10 reviews on Google“Oelwein Health Care Center receives highly polarized feedback, with long-term praise for staff warmth and care quality contrasted by recent concerns regarding ownership changes. While some families report excellent experiences with staff and food, others have expressed significant dissatisfaction following a transition in management.”
Quality Themes
Tap a score for detailsStrengths
- Warm, caring nursing staff
- Family-inclusive care approach
- Quality of food services
Concerns
- Decline in quality following ownership change (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1With the facility having undergone a recent change in ownership, what steps are you taking to ensure that the quality of care and daily operations remain consistent for the residents?
- 2I noticed that the staffing rating is currently a 3 out of 5; could you tell me more about your current staffing model and how you ensure residents receive consistent attention throughout the day?
- 3It is great to see that you engage with families online; how do you typically keep families involved and updated on their loved one's care plan and daily progress?
- 4Since food service is often highlighted as a strength here, could you describe how you accommodate personal dietary preferences or special requests for residents?
- 5Regarding the recent health inspection findings, what specific improvements or changes have been implemented to address those areas and enhance the overall resident experience?
- 6What does a typical day look like for a resident here in terms of social activities and opportunities to engage with the rest of the community?
Personalized based on this facility's data
Key Review Excerpts
“They take great care of my sister, food is very good & all staff. are awesome!”
“I can't say enough about the warm, caring staff at Oelwein health care. They include the whole family in every aspect of my mom's care.”
“Rita Barron is the most caring and hardworking CNA. Would trust her with my daddy.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
11
measures
4
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Oelwein Health Care Center has 17 deficiencies across 3 surveys, with no complaint-triggered issues. Most deficiencies involve fire safety systems, resident assessment and care planning, and electrical systems. Problems with resident assessments have persisted across multiple surveys (2023 and 2025), suggesting ongoing challenges in this area. The facility has correction plans for all deficiencies, though the recurring assessment issues warrant attention during visits.
Mar 26, 2026Routine9
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 27, 2025Routine8
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Jun 19, 2024Routine3
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 27, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 26, 2026InspectionClean
Fed violations: 7, State violations: 0
Jan 26, 2026ComplaintClean
Fed violations: 0, State violations: 0
Jan 14, 2026ComplaintClean
Fed violations: 0, State violations: 0
Aug 28, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 28, 2025InspectionClean
Fed violations: 0, State violations: 0
Mar 27, 2025InspectionClean
Fed violations: 4, State violations: 0
Jun 19, 2024InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Oelwein Health Care Center
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 4 of 89 (Best)
Ownership & Management
Owners
Rajchenbach, Avrum
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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