Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 1 - 2 months.
Grandview Healthcare Center is a 72-bed skilled nursing facility at 800 Fifth Street SE in Oelwein, Iowa. Managed by ABCM Corporation and administered by Shelia Lawson, the community provides 24-hour nursing, rehabilitation, and memory care for residents in Fayette County. The campus maintains a tranquil residential setting and accepts Medicare, Medicaid, and private insurance.
State and federal regulators currently assign the facility a 4-star overall rating, reflecting performance categorized as “Above Average”. Regulatory inspections show a citations-per-inspection rate of 2.0, which is significantly lower than the Iowa state average of 6.1. While an April 2025 standard survey identified four deficiencies related to infection control and pharmacy practices, a subsequent December 2025 follow-up confirmed the facility returned to substantial compliance with zero new citations. No critical or high-harm violations have been issued during the current review cycle.
Professional support is guided by a staffing model that delivers 4 hours 3 minutes of daily nursing time per resident—higher than the Iowa average of 3 hours 48 minutes. Registered Nurse (RN) presence is a notable metric, as the 35 minutes of daily RN time exceeds the state mean. Clinical programs coordinate physical, occupational, and speech therapy alongside specialized ventilator and respiratory care. The facility reports a 31.9% nursing staff turnover rate, which is considerably lower than the Iowa average of 44.4%.
The campus environment features varied room layouts, including private suites and semi-private companion rooms. Residents have access to unique amenities such as raised garden beds, an outdoor walking trail, and a beauty and barber salon. Dining options include restaurant-style service and 24-hour snack availability, while social programs provide spiritual services and community outings. For medical appointments, the facility provides dedicated transportation to nearby MercyOne Oelwein Medical Center.
Interested individuals should evaluate the current bedside care standards and clinical coverage during a facility tour. It is advisable to ask the administrator for specific details on the corrective actions regarding the 2025 infection control findings and to confirm that current staffing levels meet the resident’s individual recovery or long-term care goals.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,884 contractor hours this quarter
| Certified Nursing Assistant | 56 | 12 | 68 | 13,975 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 6 | 13 | 19 | 2,976 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 17 | 0 | 17 | 2,444 | 91 | 99% | 7.1 |
| Qualified Activities Professional | 6 | 0 | 6 | 2,159 | 92 | 100% | 8.8 |
| Registered Nurse | 7 | 8 | 15 | 1,666 | 91 | 99% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 462 | 58 | 63% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 429 | 60 | 65% | 7.1 |
| Dental Services Staff | 1 | 0 | 1 | 405 | 57 | 62% | 7.1 |
| Speech Language Pathologist | 2 | 0 | 2 | 298 | 63 | 68% | 4.6 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 262 | 62 | 67% | 4.1 |
| RN Director of Nursing | 1 | 0 | 1 | 227 | 32 | 35% | 7.1 |
| Administrator | 1 | 0 | 1 | 206 | 27 | 29% | 7.6 |
| Qualified Social Worker | 1 | 0 | 1 | 112 | 36 | 39% | 3.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 93 | 31 | 34% | 2.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 75 | 28 | 30% | 2.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 41 | 27 | 29% | 1.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 5 | 5% | 6.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 34 | 13 | 14% | 2.6 |
| Medical Director | 0 | 1 | 1 | 8 | 9 | 10% | 0.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
24% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Historical financial and operational data for Grandview Healthcare Center from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Oelwein's city center to Grandview Healthcare Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wesley Acres | NH ADC AL IL MC SNF | Des Moines (Greenwood) | 80
Facility
80
IA AVG
72
Rank
#105 / 403 |
91.3%
Facility
91.3%
IA AVG
67%
Rank
#43 / 362 | +36% | 4.16
Facility
4.16
IA AVG
4.30
Rank
#120 / 231 | +43% | -3% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 5
Facility
5
IA AVG
21.7
Rank
#17 / 232 | 1.7
Facility
1.7
IA AVG
4.1
Rank
#15 / 232 | - | 73 | - |
72
Facility
72
IA AVG
47
Rank
#89 / 504 | Damon Buskohl | $29.3MFiscal year ending 12/2023
Facility
$29.3MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#1 / 224 | $20.8MFiscal year ending 12/2023
Facility
$20.8MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#1 / 224 | 71%Fiscal year ending 12/2023
Facility
71%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#31 / 224 | 165487 | ||||
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids | 69
Facility
69
IA AVG
72
Rank
#167 / 403 |
83.0%
Facility
83.0%
IA AVG
67%
Rank
#103 / 362 | +24% | 5.76
Facility
5.76
IA AVG
4.30
Rank
#9 / 231 | +23% | +34% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 3
Facility
3
IA AVG
21.7
Rank
#8 / 232 | 1.5
Facility
1.5
IA AVG
4.1
Rank
#12 / 232 | - | 57 | - |
23
Facility
23
IA AVG
47
Rank
#404 / 504 | Meth Wick Community | $18.2MFiscal year ending 03/2024
Facility
$18.2MFiscal year ending 03/2024
IA AVG
$6.9M
Rank
#6 / 224 | $10.3MFiscal year ending 03/2024
Facility
$10.3MFiscal year ending 03/2024
IA AVG
$4.2M
Rank
#8 / 224 | 56.4%Fiscal year ending 03/2024
Facility
56.4%Fiscal year ending 03/2024
IA AVG
60.3%
Rank
#130 / 224 | 165542 | ||||
| Sunrise Retirement Community | NH AL IL MC RC SNF | Sioux City | 74
Facility
74
IA AVG
72
Rank
#136 / 403 |
90.5%
Facility
90.5%
IA AVG
67%
Rank
#49 / 362 | +35% | 5.70
Facility
5.70
IA AVG
4.30
Rank
#13 / 231 | -23% | +33% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 11
Facility
11
IA AVG
21.7
Rank
#72 / 232 | 3.7
Facility
3.7
IA AVG
4.1
Rank
#107 / 232 | - | 67 | A+ |
22
Facility
22
IA AVG
47
Rank
#410 / 504 | Samantha Roth | $13.6MFiscal year ending 12/2023
Facility
$13.6MFiscal year ending 12/2023
IA AVG
$6.9M
Rank
#11 / 224 | $8.5MFiscal year ending 12/2023
Facility
$8.5MFiscal year ending 12/2023
IA AVG
$4.2M
Rank
#14 / 224 | 62.2%Fiscal year ending 12/2023
Facility
62.2%Fiscal year ending 12/2023
IA AVG
60.3%
Rank
#80 / 224 | 165473 | ||||
| Mill Pond | NH AL IL MC SNF | Ankeny | 60
Facility
60
IA AVG
72
Rank
#213 / 403 |
98.3%
Facility
98.3%
IA AVG
67%
Rank
#6 / 362 | +47% | 5.21
Facility
5.21
IA AVG
4.30
Rank
#30 / 231 | -16% | +21% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 9
Facility
9
IA AVG
21.7
Rank
#56 / 232 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#73 / 232 | - | 59 | - |
16
Facility
16
IA AVG
47
Rank
#437 / 504 | Phs Management, LLC | $6.8MFiscal year ending 09/2023
Facility
$6.8MFiscal year ending 09/2023
IA AVG
$6.9M
Rank
#92 / 224 | $6.5MFiscal year ending 09/2023
Facility
$6.5MFiscal year ending 09/2023
IA AVG
$4.2M
Rank
#29 / 224 | 96.3%Fiscal year ending 09/2023
Facility
96.3%Fiscal year ending 09/2023
IA AVG
60.3%
Rank
#6 / 224 | 165261 | ||||
| Grandview Healthcare Center | NH RC SNF | Se Oelwein | 72
Facility
72
IA AVG
72
Rank
#143 / 403 |
82.9%
Facility
82.9%
IA AVG
67%
Rank
#104 / 362 | +24% | 3.75
Facility
3.75
IA AVG
4.30
Rank
#184 / 231 | -13% | -13% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 239 | 10
Facility
10
IA AVG
21.7
Rank
#61 / 232 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#19 / 232 | - | 60 | - |
77
Facility
77
IA AVG
47
Rank
#59 / 504 | Shelia Lawson | $9.1MFiscal year ending 06/2024
Facility
$9.1MFiscal year ending 06/2024
IA AVG
$6.9M
Rank
#45 / 224 | $5.0MFiscal year ending 06/2024
Facility
$5.0MFiscal year ending 06/2024
IA AVG
$4.2M
Rank
#52 / 224 | 54.6%Fiscal year ending 06/2024
Facility
54.6%Fiscal year ending 06/2024
IA AVG
60.3%
Rank
#150 / 224 | 165340 |
Grandview Healthcare Center has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Grandview Healthcare Center's occupancy is 56.0%.
No, Grandview Healthcare Center has a no-pet policy.
Grandview Healthcare Center is registered as a for-profit.
Yes — there are 6 photos of Grandview Healthcare Center in the photo gallery on this page.
Grandview Healthcare Center is located at 800 Fifth Street Se, Oelwein, IA 50662-2547.
(319) 283-1908 will put you in contact with the team at Grandview Healthcare Center.
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