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C
Below Standard

GRANDVIEW HEALTHCARE CENTER

201 GRAND AVE · WASHINGTON, MO 63090

6362399190 · For profit - Limited Liability company

102 beds48 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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 HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.0361 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4153 HPRD, below the recommended 0.75. It is 0.86 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.17% compared to weekdays. The facility has low agency staff usage (1.2% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0361 HPRD — needs 0.44 more hours per resident per day.
⚠️RN staffing (0.4153 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 (1.2%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0361hrs/resident/day▼ 0.86
CMS benchmark: 3.48
RN HPRD
0.4153hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
17.17%
3.191 weekday → 2.643 weekend
Agency Staff
1.2%
8.79% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.7753hrs/resident/day
Direct care aides
LPN HPRD
0.7497hrs/resident/day
Licensed practical nurses
Consistency
0.4004std 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. Franklin County Average-0.22 HPRD
3.26
03.04 HPRD
vs. Missouri State Average-0.45 HPRD
3.48
03.04 HPRD
vs. National Average-0.86 HPRD
3.90
03.04 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 HEALTHCARE CENTER ★
WASHINGTON · This facility
—
C
3.03610.4153★★★★☆
SUNSET HEALTH CARE CENTER
UNION
8 mi
D
3.11780.2792★★☆☆☆
NEW HAVEN CARE CENTER
NEW HAVEN
10.8 mi
D
2.93590.3928★★★★☆
ST CLAIR NURSING CENTER
SAINT CLAIR
14.7 mi
D
3.91490.3701★★★★★
PACIFIC CARE CENTER
PACIFIC
16.5 mi
F
2.85040.1031★☆☆☆☆
WARRENTON MANOR
WRIGHT CITY
18.5 mi
D
3.25210.3159★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
27
Total Deficiencies
$0
Fines Assessed
Sep 5, 2025Health
1 deficiency cited· Includes actual harm
▼
Jul 11, 2024Health
3 deficiencies cited
▼
Jan 11, 2024Health
1 deficiency cited
▼
Sep 22, 2023Health
8 deficiencies cited
▼
Sep 12, 2022Health
14 deficiencies cited
▼
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.