facebook tracking Grandview Healthcare Center, Washington MO: CMS Ratings
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Grandview Healthcare Center

All states › Missouri › Washington › Grandview Healthcare Center

201 Grand Ave Washington, MO 63090 · Franklin County

(636) 239-9190

Accepts Medicare Accepts Medicaid 102 certified beds For profit

CMS certification number 265374 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Grandview Healthcare 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 Grandview Healthcare Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6. Inspectors issued 24 citations in the last three years. CMS reports no fines or payment denials in that time.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.13 hours per resident per day at Grandview Healthcare Center, below the Missouri median of 3.37 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.70 hours, 14% below its all-week average. 68.6% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.13 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.34 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.70 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 68.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds102
Residents per day 65 About 63% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1989
Part of a chainJames & Judy Lincoln
Legal business nameWASHINGTON N & R, LLC

Paying for care at Grandview Healthcare Center: Medicare and Medicaid

Grandview Healthcare 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 Missouri'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 14, 2026 and found 8 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 24 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 24 citations at Grandview Healthcare Center across 5 inspection dates, 5 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 5, 2025. The most common areas cited were quality of life and care (6) and nutrition and dietary (5). The most serious was cited under the CMS rule to "ensure services provided by the nursing facility meet professional standards of quality" (tag F0658, level G, September 5, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

January 14, 2026 · 11 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 26, 2026)

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Feb 26, 2026)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Feb 26, 2026)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Feb 26, 2026)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Feb 26, 2026)

ETry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Feb 26, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 26, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 26, 2026)

ERegularly 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.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0909 · Deficient, Provider has date of correction (Feb 26, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Feb 26, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Feb 26, 2026)

September 5, 2025 · 1 citation, includes actual harm · includes complaint inspection

GEnsure services provided by the nursing facility meet professional standards of quality.

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Past Non-Compliance (Aug 15, 2025)

July 11, 2024 · 3 citations

EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Aug 21, 2024)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Aug 21, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 21, 2024)

January 11, 2024 · 1 citation · includes complaint inspection

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2024)

September 22, 2023 · 8 citations

FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Nov 5, 2023)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Nov 5, 2023)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 5, 2023)

FDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Nov 5, 2023)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Nov 5, 2023)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Nov 5, 2023)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 5, 2023)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 5, 2023)

Questions to ask on a tour of Grandview Healthcare Center

  1. Inspectors cited the home at the actual-harm level on September 5, 2025 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on January 14, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 68.6% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 3/5 1/5 1/5
August 2026 2/5 3/5 2/5 1/5
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Location

Hospitals near Grandview Healthcare Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.0 mi
    St Johns Mercy Hospital Washington
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 39m for patients treated and sent home
  • 20.9 mi
    Progress West Healthcare Center O'fallon
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 23m for patients treated and sent home
  • 21.5 mi
    SSM St Joseph Hospital West Lake St Louis
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 35m 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

Sunset Health Care Center Union · 8.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid
Union Nursing Union · 10.1 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 60 beds · Medicaid
New Haven Care Center New Haven · 10.8 mi away ★★★☆☆ Inspection 5/5 · Staffing 1/5 90 beds · Medicaid
St Clair Nursing Center Saint Clair · 14.7 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 79 beds · Medicaid
Pacific Care Center Pacific · 16.5 mi away ★☆☆☆☆ Inspection 3/5 · Staffing 1/5 118 beds · Medicaid

More nursing homes near Grandview Healthcare Center ›   All nursing homes in Washington ›

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Other James & Judy Lincoln nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln 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.

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https://www.nursinghomesineachstate.com/missouri/washington/grandview-healthcare-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.