Total staff
148
Employees
112
Contractors
36
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Grandview Healthcare Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Grandview Healthcare Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Grandview Healthcare Center accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 205th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 205th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 37m per day
Rank #205 / 241Nurse hours — State benchmarkedThis home is ranked 205th out of 241 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-16%
Standout metric
Nurse Aide is +22% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▼ 45% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 33m per day | ▼ 3% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 5m per day | ▲ 22% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day | ▲ 7% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 33% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
56%
Rank #246 / 401Occupancy rate — State benchmarkedThis home is ranked 246th out of 401 homes in Iowa for occupancy rate. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
163 days
Walk Score: 77 / 100 Rank #59 / 528Walk Score — State benchmarkedThis home is ranked 59th out of 528 homes in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Rehabilitation Services
24-Hour Staffing
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Hospice
Specific ProgramsResident Transportation, Pay My Bill
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.69 : 1
32% more staff per resident than Iowa average
Avg staff/day
40
Average shift
7.2 hours
0% compared with Iowa average
Total staff hours (quarter)
26,410
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
15 total: 7 full-time employees and 8 contractors.
15
15 total: 7 full-time employees and 8 contractors.
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
19 total: 6 full-time employees and 13 contractors.
19
19 total: 6 full-time employees and 13 contractors.
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
68 total: 56 full-time employees and 12 contractors.
68
68 total: 56 full-time employees and 12 contractors.
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7.1%
1,884 contractor hours this quarter
Licensed Practical Nurse: 13
Certified Nursing Assistant: 12
Registered Nurse: 8
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
68 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
17 Medication Aide/Technician
% of Days
99%
6 Qualified Activities Professional
% of Days
100%
15 Registered Nurse
% of Days
99%
1 Nurse Practitioner
% of Days
68%
1 Dietitian
% of Days
63%
1 Clinical Nurse Specialist
% of Days
65%
1 Dental Services Staff
% of Days
62%
2 Speech Language Pathologist
% of Days
68%
2 Therapeutic Recreation Specialist
% of Days
67%
1 RN Director of Nursing
% of Days
35%
1 Administrator
% of Days
29%
1 Qualified Social Worker
% of Days
39%
4 Respiratory Therapy Technician
% of Days
34%
2 Physical Therapy Aide
% of Days
30%
3 Physical Therapy Assistant
% of Days
29%
1 Occupational Therapy Assistant
% of Days
5%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
10%
Penalties and fines
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
48% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.4
38% better than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
57% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.4%
Percent of long-stay residents whose ability to move independently worsened
5.4%
73% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.7%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
44% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
73% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
108% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
31% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.3%
Percent of long-stay residents who received an antipsychotic medication
26.3%
39% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.03
Number of hospitalizations per 1,000 long-stay resident days.
1.03
30% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.59
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.59
24% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
12% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
113% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
18% worse than Iowa averageIowa average: 73.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
33.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
33.3%
38% worse than Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
49.3%
Rate of successful return to home or community from a skilled nursing facility.
49.3%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
64% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55
Medicare
3
5.5% of residents
Medicaid
44
80% of residents
Private pay or other
8
14.5% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Grandview Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
56.0%
↑ 11.5pp vs 2023
Net Income
$1.5M
↑ ~$1.2M vs 2023
Total Payroll
$5.0M
↑ ~$910.7K vs 2023
Profit Margin
16.2%
↑ 12.0pp vs 2023
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$9.1M
Profit
$1.5M
Privately-owned community
Operated by a business corporation.
Home revenue
$9.1M Rank #81 / 242Revenue — State benchmarkedThis home is ranked 81st out of 242 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.5M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #75 / 242Payroll — State benchmarkedThis home is ranked 75th out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #75 / 242Payroll — State benchmarkedThis home is ranked 75th out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.2M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Grandview Healthcare Center
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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Financial Assistance for
Nursing Home in Iowa
Grandview Healthcare Center is located in Oelwein, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
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| Grandview Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Oelwein | 93
Facility
93
IA AVG
73
Rank
#84 / 407 | - | - | 3.61 | -13% | -16% | $0 | 10 | 2.0 | - | 56 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | Shelia Lawson | $9.1M | $5.0M | 54.6% | 165340 | ||||
| Rotary Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Frequently Asked Questions about Grandview Healthcare Center
Is Grandview Healthcare Center in a walkable area?
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.
Are there photos of Grandview Healthcare Center?
Yes — there are 6 photos of Grandview Healthcare Center in the photo gallery on this page.
What is the address of Grandview Healthcare Center?
Grandview Healthcare Center is located at 800 Fifth Street SE.
What is the phone number of Grandview Healthcare Center?
(319) 283-1908 will put you in contact with the team at Grandview Healthcare Center.
Is Grandview Healthcare Center Medicare or Medicaid certified?
Yes — Grandview Healthcare Center is a CMS-certified provider of Medicare and Medicaid.
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