Oakview Nursing and Rehabilitation
1212 Indian Hills Drive, Burlington, IA 52601 · Des Moines County · 60 certified beds · avg 52 residents/day · certified since Jul 20, 2001
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 17, 2024 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 23, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 17, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 31, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| May 5, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 5, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 5, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| May 5, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| May 5, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 5, 2023 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.40 | 4.37 | 3.95 | top 44% in Iowa; top 26% in the U.S. |
| Registered Nurse hours | 0.83 | 0.85 | 0.69 | top 46% in Iowa; top 25% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.86 | 3.50 | bottom 45% in Iowa; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.51 | 0.48 | bottom 4% in Iowa; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 54.4 | 44.0 | 45.8 | bottom 22% in Iowa; bottom 26% in the U.S. |
| RN turnover (%) | 14.3 | 42.1 | 42.9 | top 11% in Iowa; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.64, RN 0.68, weekend 3.02. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arp Sample, Susan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| Baumhoefener, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| Dancer, Julie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/19/2024 |
| Larson, Edgar | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| Pietrzak, Michael | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| Pruett, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| Royer, Kevin | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/13/2023 |
| Showers, Joseph | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2015 |
| The Views Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2016 |
| Cambridge Realty Capital LTD of Illinois | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2015 |
| Cambridge Realty Capital LTD of Illinois | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2015 |
| Darnall, Hallie | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/05/2025 |
| Darnall, Hallie | Individual | ADP of the SNF | NOT APPLICABLE | 08/05/2025 |
| Enzeroth, Kim | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/2025 |
| Enzeroth, Kim | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2025 |
| Larison, Audra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/17/2023 |
| Larison, Audra | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2023 |
| Pruett, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2010 |
| Pruett, John | Individual | Limited Partnership Interest | NOT APPLICABLE | 07/01/2006 |
| Rashid, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Southeast Iowa Regional Medical - Klein Center | 0.7 mi | West Burlington, IA | ★★☆☆☆ | 1/5 | |
| Henderson County Ret Center | 13.8 mi | Stronghurst, IL | ★★★★★ | 5/5 | |
| Azria Health Prairie Ridge | 14.3 mi | Mediapolis, IA | ★☆☆☆☆ | 1/5 | |
| New London Specialty Care | 15.1 mi | New London, IA | ★★☆☆☆ | 2/5 | |
| West Point Care Center INC | 15.8 mi | West Point, IA | ★★★★★ | 4/5 | |
| Birkwood Village of Fort Madison | 15.8 mi | Fort Madison, IA | ★★★☆☆ | 3/5 | |
| Wapello Specialty Care | 19.1 mi | Wapello, IA | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165439.