Oakwood Care Center
400 Highway 18 West, Clear Lake, IA 50428
Oakwood Care Center is a nursing home in Clear Lake, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (641) 357-5244
- Last standard health inspection
- December 31, 2025 (10 months ago)
- Certified beds
- 76
- Residents per day, on average
- 62.6
- Ownership type
- For profit - Corporation
- Legal business name
- Clear Lake Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (17 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
5 citations
Health inspection on July 23, 2026
CMS lists this as a complaint inspection.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 17, 2026.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on August 17, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 17, 2026.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on August 17, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 17, 2026.
CMS has cited this home for F0689 2 times since 2023.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
3 citations
Health inspection on December 31, 2025
CMS lists this as a standard inspection.
Citation F0814. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on January 23, 2026.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on January 23, 2026.
CMS has cited this home for F0578 2 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 23, 2026.
CMS has cited this home for F0880 2 times since 2024.
1 citation
Fire safety inspection on December 31, 2025
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 28, 2026.
CMS has cited this home for K0345 2 times since 2023.
CMS update of December 15, 2025
Ownership
CMS lists this home under a new chain.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new legal business name for this home.
1 citation
Health inspection on November 19, 2025
CMS lists this as a complaint inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 9, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of June 25, 2025
Ownership
CMS lists this home under a new chain.
CMS update of May 28, 2025
Ownership
CMS lists this home under a new chain.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
Name
CMS lists a new legal business name for this home.
6 citations
Health inspection on November 7, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 7, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on December 7, 2024.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on December 7, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on December 7, 2024.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on December 7, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 7, 2024.
4 citations
Fire safety inspection on November 7, 2024
CMS lists this as a standard inspection.
Citation E0006. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on December 12, 2024.
Citation E0039. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on November 19, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 13, 2024.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on November 13, 2024.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
2 citations
Health inspection on September 28, 2023
CMS lists this as a standard inspection.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on October 28, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 28, 2023.
7 citations
Fire safety inspection on September 28, 2023
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 17, 2023.
Citation K0354. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
CMS lists it as corrected on October 17, 2023.
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on October 19, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 10, 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 10, 2023.
Citation K0351. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on October 17, 2023.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on October 16, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- IOWA PORTFOLIO OPCO HOLDINGS LLCDirect ownership interest · not applicable · since 08/15/2024
- DOROS GENERATION TRUST U/A/D 1/3/12Indirect ownership interest · not applicable · since 08/15/2024
- GPN FAMILY TRUST U/A/D 4/28/08Indirect ownership interest · not applicable · since 08/15/2024
- OAKWAY OPERATIONS LLCIndirect ownership interest · not applicable · since 08/15/2024
- RAJCHENBACH, CHAIMIndirect ownership interest · not applicable · since 08/15/2024
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOperational/managerial control · not applicable · since 08/15/2024
- BEASLEY, KARLAOperational/managerial control · not applicable · since 08/15/2024
- BEHOUNEK, LINSEYOperational/managerial control · not applicable · since 08/15/2024
- BORCHERDING, JENNYOperational/managerial control · not applicable · since 08/15/2024
- BREKKEN, MCKENZIEOperational/managerial control · not applicable · since 08/15/2024
- BURKEN, SHERIOperational/managerial control · not applicable · since 08/15/2024
- FRIEDENBERG, LAURAOperational/managerial control · not applicable · since 08/15/2024
- HEDBERG, JENNIFEROperational/managerial control · not applicable · since 08/15/2024
- HENNAGER, CHRISTINAOperational/managerial control · not applicable · since 08/15/2024
- HEYING, LARINAOperational/managerial control · not applicable · since 08/15/2024
- HOUSTON, MINDYOperational/managerial control · not applicable · since 08/15/2024
- JAEGER, KRYSTLEOperational/managerial control · not applicable · since 08/15/2024
- KNUTSON, MICHELEOperational/managerial control · not applicable · since 08/15/2024
- LARSON, MELISSAOperational/managerial control · not applicable · since 08/15/2024
- MCCLURE, DOROTHYOperational/managerial control · not applicable · since 08/15/2024
- OTTERBECK, PATRICIAOperational/managerial control · not applicable · since 08/15/2024
- RAJCHENBACH, CHAIMOperational/managerial control · not applicable · since 08/15/2024
- SCOTT, KATHLEENOperational/managerial control · not applicable · since 08/15/2024
- SEU, JOSHUAOperational/managerial control · not applicable · since 08/15/2024
- SHABAT, MENACHEMOperational/managerial control · not applicable · since 08/15/2024
- SHEAR, KILEYOperational/managerial control · not applicable · since 08/15/2024
- STAUDT, SANDRAOperational/managerial control · not applicable · since 08/15/2024
- THOE, KRYSTALOperational/managerial control · not applicable · since 08/15/2024
- THORSON, LINDSEYOperational/managerial control · not applicable · since 08/15/2024
- VAN VEGHEL, ELIZABETHOperational/managerial control · not applicable · since 08/15/2024
- WIERSCHEM, BOBBIEOperational/managerial control · not applicable · since 08/15/2024
- WOOD, ROSEMARYOperational/managerial control · not applicable · since 08/15/2024
- WRIGHT, AMYOperational/managerial control · not applicable · since 08/15/2024
Questions
When was Oakwood Care Center last inspected?
CMS lists December 31, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Oakwood Care Center have?
CMS lists 17 health citations since September 28, 2023. CMS also calls these deficiencies.
Has Oakwood Care Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Oakwood Care Center?
Its CMS overall star rating is 3 of 5.
Is Oakwood Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.