F

Grundy Care Center

102 East J Avenue, Grundy Center, IA 50638
Score: 7 / 100

With a score of 7/100, Grundy Care Center ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Grundy Care Center, with 3.32 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 38 deficiencies at Grundy Care Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: electronically submit to cms complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.32 3.8 Below Average
Registered Nurses (RN) 0.65 0.7 Average
Licensed Practical Nurses (LPN) 0.64 0.7 Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 2.99 3.8 Below Average
Weekend RN Hours 0.57 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
Jan 7, 2026
Most Recent Inspection
⚪ 2 Minor 🟠 33 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Jan 7, 2026 · Administration Deficiencies
  • Tag 0812 Severity D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 7, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 19, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jan 6, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Nov 6, 2024 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.0% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 23.1% 14.5% Worse
Urinary tract infections 3.1% 2.5% Worse
ADL decline (daily activities) 36.3% 14.0% Worse
Excessive weight loss 5.4% 7.5% Better
New/worsened incontinence 19.2% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $65,677

How This Grade Was Calculated

This facility's grade of F is based on a score of 7 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
40
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 7, 2026
Deficiencies (Cycle 1)
3

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