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C
Below Standard

Grandview Healthcare Center

800 Fifth Street SE · Oelwein, IA 50662

3192831908 · For profit - Corporation

72 beds59 residents110 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grandview Healthcare Center receives an overall staffing grade of C (Below Standard). With 4.0234 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4022 HPRD, below the recommended 0.75. It is 0.13 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 19.6% compared to weekdays. The facility has low agency staff usage (6.86% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.4022 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
4.0234hrs/resident/day▲ 0.13
CMS benchmark: 3.48
RN HPRD
0.4022hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
19.6%
4.2594 weekday → 3.4244 weekend
Agency Staff
6.86%
21.3% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.4576hrs/resident/day
Direct care aides
LPN HPRD
0.5432hrs/resident/day
Licensed practical nurses
Consistency
0.4854std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fayette County Average+0.53 HPRD
3.49
04.02 HPRD
vs. Iowa State Average+0.21 HPRD
3.82
04.02 HPRD
vs. National Average+0.13 HPRD
3.90
04.02 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grandview Healthcare Center ★
Oelwein · This facility
—
C
4.02340.4022★★★★☆
Oelwein Health Care Center
Oelwein
0.2 mi
D
2.89060.2991★★★★★
Rehabilitation Centers of Independence West Campus
Independence
13.9 mi
C
3.18640.5704★★☆☆☆
Strawberry Point Lutheran Home
STRAWBERRY POINT
18.8 mi
A
4.98811.2601★★★★☆
Good Samaritan Society - West Union
West Union
21.2 mi
C
3.32680.7637★★★★☆
Northcrest Specialty Care
Waterloo
23.8 mi
B
3.51190.6999★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
11
Total Deficiencies
$0
Fines Assessed
Dec 4, 2025Health
1 deficiency cited
▼
Apr 9, 2025Health
3 deficiencies cited
▼
Oct 29, 2024Health
1 deficiency cited
▼
Jul 3, 2024Health
4 deficiencies cited
▼
Nov 8, 2023Health
1 deficiency cited
▼
Mar 30, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.