Grandview Healthcare Center

Name: Grandview Healthcare Center
Address: 508 2nd Street NE, Dayton, IA, 50530, US
Telephone: 5155472288

508 2nd Street NE, Dayton, IA 50530 · Webster County · 40 certified beds · avg 34 residents/day · certified since Jan 3, 1994

3/5

Health inspection rating (on-site)

Serious findings on record

$33,598

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 6, 2023 · F-0741 · triggered by a complaint

The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression.

Why it matters: Residents with dementia or other behavioral health needs may be mishandled, overmedicated, or left in distress.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Oct 10, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 11, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 5, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 6, 2023	▲ J · Immediate jeopardy, one-off	The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint
Sep 6, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Sep 6, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 6, 2023	C · Minimal risk, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	1	J ▲
2024	1	0	E
2025	4	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $33,598.

Date	Type	Amount / length
Sep 6, 2023	Fine	$33,598

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.24	4.37	3.95	bottom 3% in Iowa; bottom 24% in the U.S.
Registered Nurse hours	1.08	0.85	0.69	top 19% in Iowa; top 13% in the U.S.
Weekend total nurse staffing	2.65	3.86	3.50	bottom 1% in Iowa; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.51	0.48	top 33% in Iowa; top 28% in the U.S.
Total nursing staff turnover (%)	52.0	44.0	45.8	bottom 28% in Iowa; bottom 32% in the U.S.
RN turnover (%)	50.0	42.1	42.9	bottom 41% in Iowa; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.84, RN 0.95, weekend 2.33. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Stratford Specialty Care	5.4 mi	Stratford, IA	★★☆☆☆	2/5
Friendship Haven, INC	15.3 mi	Fort Dodge, IA	★★★★☆	3/5
Accura Healthcare of Ogden, LLC	16.1 mi	Ogden, IA	★★★★☆	3/5
Eastern Star Masonic Home	16.6 mi	Boone, IA	★★★☆☆	3/5
Westhaven Community	16.8 mi	Boone, IA	★★★☆☆	3/5
Marian Home	17.7 mi	Fort Dodge, IA	★★★★★	5/5
Crestview Nursing and Rehabilitation	17.7 mi	Webster City, IA	★★☆☆☆	2/5
Southfield Wellness Community	17.9 mi	Webster City, IA	★☆☆☆☆	1/5
Fort Dodge Health and Rehabilitation	18.6 mi	Fort Dodge, IA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Dayton →

Facility data as of CMS processing date 2026-08-01. CCN 165196.

The Care File

Visit checklist — Grandview Healthcare Center

508 2nd Street NE, Dayton, IA 50530 · 5155472288

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $33,598

Most serious findings on record:

▲ Sep 6, 2023 (F-0741, Immediate jeopardy, one-off): The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression.

Questions for the administrator:

☐ "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165196 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)