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C
Below Standard

Grundy Care Center

102 East J Avenue · Grundy Center, IA 50638

3198245436 · For profit - Corporation

40 beds28.4 residents65 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
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

Grundy Care Center receives an overall staffing grade of C (Below Standard). With 3.3159 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6533 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.24% compared to weekdays. The facility has low agency staff usage (1.93% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3159 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.6533 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.93%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3159hrs/resident/day▼ 0.58
CMS benchmark: 3.48
RN HPRD
0.6533hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
13.24%
3.4447 weekday → 2.9888 weekend
Agency Staff
1.93%
4.22% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4989hrs/resident/day
Direct care aides
LPN HPRD
0.6313hrs/resident/day
Licensed practical nurses
Consistency
0.6929std 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. Grundy County Average-0.56 HPRD
3.87
03.32 HPRD
vs. Iowa State Average-0.50 HPRD
3.82
03.32 HPRD
vs. National Average-0.58 HPRD
3.90
03.32 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
Grundy Care Center ★
Grundy Center · This facility
—
C
3.31590.6533★☆☆☆☆
Creekside
Grundy Center
0.4 mi
A
4.35231.103★★★★★
Oakview, Inc.
Conrad
10.7 mi
C
3.69690.5483★★★★★
Maple Manor Village
Aplington
16.4 mi
C
3.20480.4875★★★★☆
Eldora Specialty Care
Eldora
17.8 mi
B
3.49150.6037★★★★★
Harmony House Health Care Center
Waterloo
18.6 mi
B
3.67250.6096★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
43
Total Deficiencies
$65,677
Fines Assessed
Nov 20, 2025Health
1 deficiency cited
▼
Jan 7, 2025Health
1 deficiency cited· Includes actual harm
▼
Nov 7, 2024Health
12 deficiencies cited
▼
Aug 27, 2024Health
1 deficiency cited
▼
Aug 1, 2024Health
4 deficiencies cited
▼
Aug 17, 2023Health
14 deficiencies cited· Includes actual harm
▼
Apr 6, 2023Health
3 deficiencies cited
▼
Jul 7, 2022Health
7 deficiencies cited
▼

Penalty History

Jan 7, 2025Fine
$48,796
Aug 17, 2023Fine
$16,881
Aug 17, 2023Payment Denial
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.