PlainNursing
CMS Nursing Home Compare · August 2026

Grandview Healthcare Center

201 Grand Ave, Washington, MO 63090

Grandview Healthcare Center, a 102-bed for profit - limited liability company nursing facility in Washington, MO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #291 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6362399190

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2 / 5
Below average · CMS overall · nat'l 3.0
#291 of 479
In-state rank among rated MO homes
3.11
Well below average · nurse hrs/day · nat'l 3.86
24
Inspection findings · 1 serious

The verdict

Grandview Healthcare Center, a 102-bed for profit - limited liability company nursing facility in Washington, MO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #291 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#291 of 479
In-state rank among rated MO homes
3.11
Nurse hrs/resident-day · national 3.86
24
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

2/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
265374
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
102
Residents
57
In Hospital
No
County
Franklin
Last Inspection
Jan 14, 2026

Staffing Data

How the 3.11 total nursing hours per resident-day are staffed:

RN Hours
0.31 (nat'l avg: 0.69)
LPN Hours
0.85
CNA Hours
1.94
Total Nursing Hours
3.11 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
68.6%

What the CMS Record Reveals About Grandview Healthcare Center

According to CMS Nursing Home Compare, Grandview Healthcare Center ranks #291 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Grandview Healthcare Center operates 102 certified beds in Washington, MO with approximately 57 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 2★ · quality 1★).

The inspection file contains 24 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 3.11 total nursing hours per resident day (national average 3.86), with RN coverage at 0.31 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Grandview Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 68.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2026

D - Isolated - Minimal harm Jan 14, 2026 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2026

E - Pattern - Minimal harm Jan 14, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2026

F - Widespread - Minimal harm Jan 14, 2026 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Feb 26, 2026

F - Widespread - Minimal harm Jan 14, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 26, 2026

G - Isolated - Actual harm Sep 5, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 15, 2025

D - Isolated - Minimal harm Jul 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 21, 2024

D - Isolated - Minimal harm Jul 11, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Aug 21, 2024

E - Pattern - Minimal harm Jul 11, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 21, 2024

D - Isolated - Minimal harm Jan 11, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

E - Pattern - Minimal harm Sep 22, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 5, 2023

E - Pattern - Minimal harm Sep 22, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 5, 2023

E - Pattern - Minimal harm Sep 22, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 5, 2023

E - Pattern - Minimal harm Sep 22, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 5, 2023

F - Widespread - Minimal harm Sep 22, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 5, 2023

F - Widespread - Minimal harm Sep 22, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 5, 2023

F - Widespread - Minimal harm Sep 22, 2023 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 5, 2023

F - Widespread - Minimal harm Sep 22, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 9.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 72.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 35.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 45.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Grandview Healthcare Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Grandview Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 102 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Grandview Healthcare Center?
Grandview Healthcare Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (1★).
Where does Grandview Healthcare Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Grandview Healthcare Center ranks 291st among 479 rated nursing homes in MO (#291 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Grandview Healthcare Center?
Grandview Healthcare Center reports 3.11 total nursing hours per resident day (national average: 3.86). RN hours are 0.31 per resident day (national average: 0.69). Nursing staff turnover is 68.6%.
How many beds does Grandview Healthcare Center have?
Grandview Healthcare Center has 102 certified beds with approximately 57 residents. The facility is located at 201 Grand Ave, Washington, MO 63090.
Does Grandview Healthcare Center have any deficiencies on record?
Yes, Grandview Healthcare Center has 24 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Grandview Healthcare Center received any fines or penalties?
No, Grandview Healthcare Center has no fines or penalties on record.
Who owns Grandview Healthcare Center?
Grandview Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Grandview Healthcare Center last inspected?
The most recent health inspection for Grandview Healthcare Center was on Jan 14, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Grandview Healthcare Center?
Grandview Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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