Senior CareScorecard

Nursing home · Washington, MO

Grandview Healthcare Center

201 Grand Ave, Washington, MO 63090 · 102 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & Medicaid
Medicare overall rating2 / 5Below averageDe Soto area 3.1 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
2/5Staffing Below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Jan 14, 2026, when they cited 11 problems, 3 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 11 are marked corrected in the CMS data. At its most recent standard inspection (Jan 14, 2026) it had 12 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.11 hours per resident per day here, 9% less than the Missouri average (3.43) and 20% less than the U.S. average (3.86). Registered nurses account for 0.31 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 69% over the past year, 13 points higher than Missouri (56%) and 23 points higher than the U.S. (46%).

How Grandview Healthcare Center compares

This home's latest CMS figures next to the averages for De Soto-area homes (11), Missouri (487) and the U.S. (14,680).

This homeDe Soto areaMissouriU.S.
Total nurse hours per resident per day3.113.263.433.86
Registered nurse hours per resident per day0.310.400.460.68
Weekend nurse hours per resident per day2.842.903.013.42
Nursing staff turnover (past year)69%60%56%46%
Registered nurse turnover (past year)—53%48%43%
Citations at the most recent standard inspection128.311.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Jan 14, 202611standard + complaint
Sep 5, 20251complaint · 1 harm-level citation
Jul 11, 20243standard
Jan 11, 20241complaint
Sep 22, 20238standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 24 of 24 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jan 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 14, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning · complaint
EDeficient, Provider has date of correction
Jan 14, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jan 14, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Jan 14, 2026Try 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.
Quality of life and care
EDeficient, Provider has date of correction
Jan 14, 2026Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
Jan 14, 2026Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jan 14, 2026Regularly 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.
Environmental
EDeficient, Provider has date of correction
Jan 14, 2026Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Jan 14, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jan 14, 2026Implement a program that monitors antibiotic use.
Infection control
FDeficient, Provider has date of correction
Sep 5, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
G actual harmPast Non-Compliance
Jul 11, 2024Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Jul 11, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jul 11, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
DDeficient, Provider has date of correction
Jan 11, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 22, 2023Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 22, 2023Ensure 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.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 22, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 22, 2023Dispose of garbage and refuse properly.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 22, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Sep 22, 2023Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Sep 22, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Sep 22, 2023Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Grandview Healthcare Center

Answers computed from CMS data for this facility.

What is Grandview Healthcare Center's Medicare rating?

Medicare rates Grandview Healthcare Center 2 out of 5 stars overall (below average). The average for De Soto-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.

How did Grandview Healthcare Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jan 14, 2026, when they cited 11 problems, 3 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 11 are marked corrected in the CMS data. At its most recent standard inspection (Jan 14, 2026) it had 12 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.

Has Grandview Healthcare Center been fined?

CMS reports no federal fines for this facility in the past three years.

Does Grandview Healthcare Center accept Medicaid?

Grandview Healthcare Center is certified for both Medicare and Medicaid. Call (636) 239-9190 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.