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Nursing HomeMedicaid

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.

600 Seventh Street Se, Oelwein, IA 5066261 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 10 Google reviews

5
4
3
2
1
Oelwein Health Care Center Nursing Home in Oelwein, IA — Street View
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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 details
Food10.0Staff8.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • 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

2345.0'17(1)4.05.0'20(2)5.01.0'23(1)5.01.0'25(1)2.5'26(2)

Distribution · 11 analyzed

5
6
4
1
3
1
2
1
1
2

How They Respond to Reviews

20%response rate

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!

Family member · 2024★★★★★

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.

Long-term resident's family · 2017★★★★★

Rita Barron is the most caring and hardworking CNA. Would trust her with my daddy.

Family member · 2021★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
2.93hrs
72%
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.5%
IA
19.4%
Fayette
15.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%
Fayette
12.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility17.0%
Worse than Avg
Here
17.0%
US
5.3%
IA
4.9%
Fayette
6.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
15.3%
IA
17.5%
Fayette
15.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
14.4%
IA
17.6%
Fayette
14.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.5%
Better than Avg
Here
17.5%
US
19.5%
IA
20.7%
Fayette
25.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.0%
Better than Avg
Here
92.0%
US
81.8%
IA
84.1%
Fayette
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Fayette
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (6.2)

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, 2026Routine
9
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0580Potential for harm · IsolatedCorrected

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0811Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 27, 2025Routine
8
0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0914Potential for harm · WidespreadCorrected

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jun 19, 2024Routine
3
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
12deficiencies
Apr 27, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 26, 2026Inspection
Clean

Fed violations: 7, State violations: 0

Jan 26, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Jan 14, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Aug 28, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 28, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Mar 27, 2025Inspection
Clean

Fed violations: 4, State violations: 0

Jun 19, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oelwein Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

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

Shabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManagerAllen, CraigManagerBeasley, KarlaManagerBehounek, LinseyManager
Source: Medicare provider data

Contact

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References & Resources

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