Oakwood Care Center

Name: Oakwood Care Center
Address: 400 Highway 18 West, Clear Lake, IA, 50428, US
Telephone: 6413575244

400 Highway 18 West, Clear Lake, IA 50428 · Cerro Gordo County · 76 certified beds · avg 64 residents/day · certified since Oct 1, 1997

Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.82

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (12)

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
Dec 31, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 31, 2025	D · Potential for harm, one-off	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.
Nov 19, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 7, 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.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 7, 2024	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.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 7, 2024	D · Potential for harm, one-off	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.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	2	D
2024	6	E
2025	4	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)	3.82	4.37	3.95	bottom 25% in Iowa; top 47% in the U.S.
Registered Nurse hours	0.53	0.85	0.69	bottom 14% in Iowa; bottom 42% in the U.S.
Weekend total nurse staffing	3.49	3.86	3.50	bottom 35% in Iowa; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.51	0.48	bottom 27% in Iowa; bottom 43% in the U.S.
Total nursing staff turnover (%)	40.3	44.0	45.8	top 45% in Iowa; top 37% in the U.S.
RN turnover (%)	37.5	42.1	42.9	top 45% in Iowa; top 42% 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 3.42, RN 0.48, weekend 3.13. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Doros Generation Trust U/A/D 1/3/12	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
GPN Family Trust U/A/D 4/28/08	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Iowa Portfolio Opco Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/15/2024
Oakway Operations LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Rajchenbach, Chaim	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/15/2024
Beasley, Karla	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Beasley, Karla	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Behounek, Linsey	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Behounek, Linsey	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Borcherding, Jenny	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Borcherding, Jenny	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Brekken, McKenzie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Brekken, McKenzie	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
CCG Gorgona LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Clear Lake Ia Property Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Friedenberg, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can I see where garbage is stored and how often it's removed?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"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
I O O F Home and Community Therapy Center	8.9 mi	Mason City, IA	★☆☆☆☆	2/5
Good Shepherd Health Center	10.0 mi	Mason City, IA	★☆☆☆☆	2/5
Heritage Care and Rehabilitation Center	10.6 mi	Mason City, IA	★★☆☆☆	3/5
Concord Care Center	11.5 mi	Garner, IA	★★★★★	4/5
Manly Specialty Care	13.9 mi	Manly, IA	★★★☆☆	2/5
Good Samaritan - Forest City	14.9 mi	Forest City, IA	★★★★☆	4/5
Rockwell Community Nursing Home	15.0 mi	Rockwell, IA	★★★★★	4/5
Nora Springs Care Center	19.0 mi	Nora Springs, IA	★★★★☆	4/5
Sheffield Care Center	19.5 mi	Sheffield, IA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Clear Lake →

Facility data as of CMS processing date 2026-08-01. CCN 165365.

The Care File

Visit checklist — Oakwood Care Center

400 Highway 18 West, Clear Lake, IA 50428 · 6413575244

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165365 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)