CCN 165340 · Fayette County, Iowa

Grandview Healthcare Center

800 Fifth Street SE, Oelwein, IA 50662

Grandview Healthcare Center is a 72-bed for-profit nursing home in Oelwein, Iowa, first certified for Medicare or Medicaid in 1997. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 59.7 residents a day, about 83% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
72
Average residents per day
59.7 (82.9% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Oelwein Fifth Ia Skilled Nursing Facility LLC
Certified since
Aug 1, 1997
Chain or affiliated group
Legacy Healthcare (95 facilities, chain average 2.9 stars)
Location
Rural

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityIowa medianUS median
Overall rating4 of 5State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5
Health inspections4 of 5
Quality measures2 of 5
Staffing3 of 5
Total nurse hours per resident per day4.153.693.68
RN hours per resident per day0.500.700.58
Weekend nurse hours per resident per day3.51
Nursing staff turnover27.0%41.9%44.9%
Occupancy (residents / beds)82.9%83.6%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey3 (Apr 15, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Grandview Healthcare Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Gorgona Sub Holdco LLCOrganizationIndirect Ownership Interest100%08/15/2024
Legacy Healthcare Financial Services LLCOrganizationOperational / Managerial Controln/a08/15/2024
Allen, CraigIndividualOperational / Managerial Controln/a08/15/2024
Beasley, KarlaIndividualOperational / Managerial Controln/a08/15/2024
Behounek, LinseyIndividualOperational / Managerial Controln/a08/15/2024
Borcherding, JennyIndividualOperational / Managerial Controln/a08/15/2024
Burken, SheriIndividualOperational / Managerial Controln/a08/15/2024
Cook, CassandraIndividualOperational / Managerial Controln/a08/15/2024
Deford, ColinIndividualOperational / Managerial Controln/a08/18/2025
Friedenberg, LauraIndividualOperational / Managerial Controln/a08/15/2024
Hedberg, JenniferIndividualOperational / Managerial Controln/a08/15/2024
Heying, LarinaIndividualOperational / Managerial Controln/a08/15/2024
Houston, MindyIndividualOperational / Managerial Controln/a08/15/2024
Jaeger, KrystleIndividualOperational / Managerial Controln/a08/15/2024

Changes of ownership

EffectiveBuyerSeller
Aug 15, 2024Oelwein Fifth Ia Skilled Nursing Facility LLCAbcm Corporation

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Grandview Healthcare Center: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.