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C
Below Standard

Grandview Health Care Center

508 2nd Street NE · Dayton, IA 50530

5155472288 · For profit - Limited Liability company

40 beds32.5 residents40 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grandview Health Care Center receives an overall staffing grade of C (Below Standard). With 3.0603 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.84 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.09% compared to weekdays. The facility has low agency staff usage (0.44% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0603 HPRD — needs 0.42 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.44%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0603hrs/resident/day▼ 0.84
CMS benchmark: 3.48
RN HPRD
0.7779hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
23.09%
3.2739 weekday → 2.5181 weekend
⚠ Significant weekend reduction
Agency Staff
0.44%
1.56% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.538hrs/resident/day
Direct care aides
LPN HPRD
0.5647hrs/resident/day
Licensed practical nurses
Consistency
0.7863std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Webster County Average-0.62 HPRD
3.68
03.06 HPRD
vs. Iowa State Average-0.76 HPRD
3.82
03.06 HPRD
vs. National Average-0.84 HPRD
3.90
03.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grandview Health Care Center ★
Dayton · This facility
—
C
3.06030.7779★★☆☆☆
Stratford Specialty Care
Stratford
5.4 mi
C
3.39660.6989★★☆☆☆
Friendship Haven, Inc
Fort Dodge
15.3 mi
A
4.50.944★★★★☆
Fort Dodge Health and Rehabilitation
Fort Dodge
18.6 mi
C
3.08210.727★☆☆☆☆
Regency Park Nursing & Rehab Center of Jefferson
Jefferson
24 mi
B
3.51650.671★★★★☆
Madrid Home for the Aged
Madrid
29.4 mi
B
4.12520.6967★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$33,598
Fines Assessed
Dec 11, 2025Health
4 deficiencies cited
▼
Dec 5, 2024Health
1 deficiency cited
▼
Sep 6, 2023Health
7 deficiencies cited· Includes actual harm
▼

Penalty History

Sep 6, 2023Fine
$33,598
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.