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102 East J Avenue Grundy Center, IA 50638 · Grundy County
All 2 nursing homes in Grundy Center, IA (2 take Medicaid)
CMS certification number 165241 · See this home on Medicare Care Compare
Is Grundy Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Grundy Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.66 hours per resident per day at Grundy Care Center, below the Iowa median of 3.76 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.44 hours, 6% below its all-week average. 45.5% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Grundy Care Center: Medicare and Medicaid
Grundy Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 8, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 35 citations at Grundy Care Center across 7 inspection dates, 9 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 7, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and nutrition and dietary (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, August 17, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
January 8, 2026 · 2 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
November 20, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 7, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 7, 2024 · 12 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
BNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
August 27, 2024 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
August 1, 2024 · 4 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
August 17, 2023 · 14 citations, includes immediate jeopardy
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure medication error rates are not 5 percent or greater.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
Questions to ask on a tour of Grundy Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 17, 2023 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 7, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $48,796 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 7, 2025 | Fine | $48,796 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Grundy Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Grundy County Memorial Hospital Grundy CenterEmergency roomMedian ER visit 1h 21m for patients treated and sent home
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19.7 mi
Sartori Memorial Hospital Cedar FallsEmergency roomMedian ER visit 1h 36m for patients treated and sent home
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22.4 mi
Mercyone Waterloo Medical Center WaterlooEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 43m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Grundy Care Center › All nursing homes in Grundy Center ›
Compare Grundy Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Creekside · Grundy Center · 5 stars · 0.4 mi
Other Campbell Street Services nursing homes in Iowa
- Regency Park Nursing & Rehab Center of Carroll · Carroll · 5 stars
- University Park Nursing and Rehabilitation Center · Des Moines · 4 stars
- Regency Park Nursing & Rehab Center of Jefferson · Jefferson · 4 stars
- Denison Care Center · Denison · 3 stars
- Granger Nursing & Rehabilitation Center · Granger · 3 stars
- Pleasant Acres Care Center · Hull · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Campbell Street Services nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.