Grandview Health Care Center
508 2nd Street Ne, Dayton, IA 50530 · Webster County · (515) 547-2288
40 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165196 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 12 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.84 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
52.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
December 11, 2025Standard inspection · 4 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interviews, pharmacy interview and policy review, the facility failed to provide care and services according to accepted standards of clinical practice for 1 of 16 residents reviewed (Resident #23) for Physician orders. The facility reported a census of 35 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, staff interviews, and policy review, the facility failed to change oxygen tubing and water humidifier for 1 of 2 residents reviewed (Resident #4) for respiratory services. The facility reported a census of 35 residents. Findings Include: Resident #4's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 3, which indicated severe impaired cognition. The MDS included diagnoses of hypertension (high blood pressure), pulmonary fibrosis (a condition in which the lungs become scarred over time), respiratory failure and other disorders of the lung. The MDS documented Resident #3 received oxygen while a resident within the last 14 days. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to have a complete and accurately documented medical record for 1 of 16 residents reviewed (Resident #2). The facility reported a census of 35 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents reviewed (Resident #2) for pressure ulcer care. The facility reported a census of 35 residents.
December 5, 2024Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interviews, the facility failed to date items in the refrigerator, freezer and dry food storage after opening. The facility reported a census of 24 residents.
September 6, 2023Standard inspection, Complaint inspection · 7 citations
- J Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Inspectors wroteBased on clinical record review, staff and physician interviews, the facility failed to protect residents with a previous history of suicidal ideation from possible self harm for of 1 of 1 residents reviewed (Resident #5). The facility reported a census of 30 residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began on August 17, 2023 at 5:09 PM. The Facility Staff removed the IJ on [DATE] through the following actions: F741 Sufficient/Competent Staff-Behavior Health Needs Resident's Care Plan was updated to include specifically suicidal ideations. All staff currently working were audited for completed education relating to supervision requirements for residents with active suicidal ideations. Audits of all residents with a history of suicidal ideations were completed to make sure their Care Plans had suicidal ideation in place. [...]
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, record review, staff interview, and policy review the facility failed to complete an accurate comprehensive assessment by not completing the pain assessment interview for a resident receiving scheduled pain medication daily and as needed (PRN) for 1 of 12 residents reviewed (Resident #25).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to document all diagnoses identified as relevant to the appropriate state-designated authority for Level II Pre-admission Screening and Resident Review (PASRR) evaluation and determination for 2 out of 3 residents reviewed for PASRR requirements (Residents #5 & #19). The facility reported a census of 30 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, the facility failed to meet professional standards by failing to notify the physician of out of parameter blood glucose levels for 1 out of 2 residents reviewed (Resident #4). The facility reported a census of 30 residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and staff interview, the facility failed to consistently obtain post dialysis vitals and follow fluid restriction orders for 1 of 1 resident reviewed (Resident #4). The facility reported a census of 30 residents.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review, staff and physician interviews, the facility failed to develop and implement a Care Plan that include and support the behavioral health care needs for 1 out 1 residents reviewed (Resident #5). The facility reported a census of 30 residents.
- C Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to follow the menu, did not serve the dinner roll/bread and margarine at lunch for 30 of 30 residents. During an observation of the lunch meal on 8/29/23 starting at 11:30 AM, a meal of chicken, potatoes, peas, and a cookie was served to all 30 residents. The 30 residents were not provided or offered the dinner roll/ bread and margarine as scheduled. Review of facility Week-At-A-Glance menu documented the lunch meal of marinated chicken thigh, sugar snap peas, oven browned potatoes, dinner roll/bread with margarine, and chocolate chip cookie. [...]
Fire safety inspections
14 fire safety citations on file: 5 on December 11, 2025, 4 on December 5, 2024, 5 on September 6, 2023.
Every fire safety citation14 citations
- F Conduct testing and exercise requirements.
- F Have an alternate power supply for its alarm system.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Conduct testing and exercise requirements.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.84 | 3.82 | 3.86 |
| Registered nurses | 0.95 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.33 | 3.37 | 3.42 |
| Nurse aides | 1.62 | ||
| Licensed practical nurses | 0.27 | ||
| Nursing staff turnover (share who left in a year) | 52.0% | 44.0% | 45.8% |
| Registered nurse turnover | 50.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.05 on weekdays and 2.33 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.06 in April to June 2025 to 2.84 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.84 | 0.95 | 3.05 | 2.33 | 5.3% | 0 of 90 | 34 |
| Oct to Dec 2025 | 2.93 | 0.90 | 3.08 | 2.54 | 7.6% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.05 | 0.78 | 3.26 | 2.51 | 0.4% | 0 of 92 | 33 |
| Apr to Jun 2025 | 3.06 | 0.94 | 3.24 | 2.59 | 0.0% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.6 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 11, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 11, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 5, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 11, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.33 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Stratford Specialty Care Stratford, 5.4 mi · 2 of 5 stars · 36 citations
- Friendship Haven, Inc Fort Dodge, 15.3 mi · 4 of 5 stars · 16 citations
- Accura Healthcare of Ogden, LLC Ogden, 16.1 mi · 4 of 5 stars · 22 citations
- Eastern Star Masonic Home Boone, 16.6 mi · 3 of 5 stars · 15 citations
- Westhaven Community Boone, 16.8 mi · 3 of 5 stars · 16 citations
- Marian Home Fort Dodge, 17.7 mi · 5 of 5 stars · 3 citations
- Crestview Nursing and Rehabilitation Webster City, 17.7 mi · 2 of 5 stars · 19 citations
- Southfield Wellness Community Webster City, 17.9 mi · 1 of 5 stars · 63 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Grandview Health Care Center's Medicare star rating?
- CMS rates Grandview Health Care Center 2 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grandview Health Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on December 11, 2025. The Iowa average is 6.5.
- Has Grandview Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Grandview Health Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Grandview Health Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.