Grandview Healthcare Center
201 Grand Ave · Washington, MO · 63090 · 6362399190
102 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · E January 14, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 14, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · E January 14, 2026
Try 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.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · E January 14, 2026
Ensure 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.
Corrected February 26, 2026 · Pharmacy Service
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Potential for harm · F January 14, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2026 · Nutrition and Dietary
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Potential for harm · E January 14, 2026
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
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Potential for harm · F January 14, 2026
Implement a program that monitors antibiotic use.
Corrected February 26, 2026 · Infection Control
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Potential for harm · E January 14, 2026
Regularly 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.
Corrected February 26, 2026 · Environmental
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Potential for harm · D January 14, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 14, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 14, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 26, 2026 · Quality of Life and Care
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Actual harm · G September 5, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 21, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Provide and implement an infection prevention and control program.
Corrected August 21, 2024 · Infection Control
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Potential for harm · D January 11, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 16, 2024 · Quality of Life and Care
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Potential for harm · E September 22, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 22, 2023
Provide activities to meet all resident's needs.
Corrected November 5, 2023 · Quality of Life and Care
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Potential for harm · E September 22, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 5, 2023 · Quality of Life and Care
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Potential for harm · E September 22, 2023
Ensure 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.
Corrected November 5, 2023 · Pharmacy Service
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Potential for harm · F September 22, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 5, 2023 · Nutrition and Dietary
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Potential for harm · F September 22, 2023
Ensure 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.
Corrected November 5, 2023 · Nutrition and Dietary
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Potential for harm · F September 22, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 5, 2023 · Nutrition and Dietary
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Potential for harm · F September 22, 2023
Dispose of garbage and refuse properly.
Corrected November 5, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265374 · certified since June 29, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.