Iowa ›Clear Lake

Oakwood Care Center

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400 Highway 18 West, Clear Lake, IA 50428 (opens Google Maps) · Cerro Gordo County · (641) 357-5244· 76 certified beds · avg 64 residents/day · certified since Oct 1, 1997 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Dec 31, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.82
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not dispose of garbage and refuse properly. F-0814

  2. D · Potential for more than minimal harm, isolated

    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. F-0578

  3. D · Potential for more than minimal harm, isolated

    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. F-0880

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 31, 2025E · Potential for more than minimal harm, patternThe facility did not dispose of garbage and refuse properly. · F-0814
Dec 31, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Dec 31, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Nov 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Nov 7, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0644
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320D
202460E
202540E

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.82
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.53
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.49
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.824.373.95bottom 25% in Iowa; top 47% in the U.S.
Registered Nurse hours0.530.850.69bottom 14% in Iowa; bottom 42% in the U.S.
Weekend total nurse staffing3.493.863.50bottom 35% in Iowa; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.510.48bottom 27% in Iowa; bottom 43% in the U.S.
Total nursing staff turnover (%)40.344.045.8top 45% in Iowa; top 37% in the U.S.
RN turnover (%)37.542.142.9top 45% in Iowa; top 42% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Oakwood Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Doros Generation Trust U/A/D 1/3/12OrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
GPN Family Trust U/A/D 4/28/08OrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
Iowa Portfolio Opco Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/15/2024
Oakway Operations LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2024
Rajchenbach, ChaimIndividualIndirect Ownership InterestNOT APPLICABLE08/15/2024
Beasley, KarlaIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Beasley, KarlaIndividualADP of the SNFNOT APPLICABLE08/15/2024
Behounek, LinseyIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Behounek, LinseyIndividualADP of the SNFNOT APPLICABLE08/15/2024
Borcherding, JennyIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Borcherding, JennyIndividualADP of the SNFNOT APPLICABLE08/15/2024
Brekken, McKenzieIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Brekken, McKenzieIndividualADP of the SNFNOT APPLICABLE08/15/2024
Burken, SheriIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024
Burken, SheriIndividualADP of the SNFNOT APPLICABLE08/15/2024
Cascade Capital Holdings LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
Cascade Capital Partners LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
CCG Gorgona LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
Clear Lake Ia Property Holdings, LLCOrganizationADP of the SNFNOT APPLICABLE08/15/2024
Friedenberg, LauraIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2024

Showing 20 of 74 parties CMS has on file for this facility; 54 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Legacy Healthcare — 89 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 88 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 74 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
I O O F Home and Community Therapy Center8.9 miMason City, IA★☆☆☆☆2/5
Good Shepherd Health Center10.0 miMason City, IA★☆☆☆☆2/5
Heritage Care and Rehabilitation Center10.6 miMason City, IA★★☆☆☆3/5
Concord Care Center11.5 miGarner, IA★★★★★4/5
Manly Specialty Care13.9 miManly, IA★★★☆☆2/5
Good Samaritan - Forest City14.9 miForest City, IA★★★★☆4/5
Rockwell Community Nursing Home15.0 miRockwell, IA★★★★★4/5
Nora Springs Care Center19.0 miNora Springs, IA★★★★☆4/5
Sheffield Care Center19.5 miSheffield, 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.

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