Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.95 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Grandview Healthcare Center has 40 certified beds in Dayton, Iowa. The CMS overall rating is 2 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 3 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Dec 11, 2025 lists 4 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $33,598 dated Sep 6, 2023. Total nurse staffing is 2.84 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165196.
At a glance
1 of 5
3 of 5
1 of 5
1 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 33 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2016-02-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.95 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Dec 11, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 38 ownership or control parties.
CMS records show an ownership change effective February 2016.
View ownership evidenceCMS records show a $33,598 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
4 currently connected nursing homes share this CMS organization identity with ARBORETA HEALTH AND REHABILITATION CENTERS, LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 4, 2015
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across IA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Feb 9, 2012
CMS classifications: Holding company, Investment firm
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 10, 2021
CMS classifications: Parent company, Private equity company
Other facilities connected through this exact CMS organization identity: 2 across IA, NE.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.13%
Association date reported to CMS: Jan 14, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
Other facilities connected through this exact CMS organization identity: 6 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
Other facilities connected through this exact CMS organization identity: 6 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 20, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2021
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2021
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 2 across IA, NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 8 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 14, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 8 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 8 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2025
Other facilities connected through this exact CMS organization identity: 8 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across CA, IA, MI, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 10, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 14, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 14, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 20, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 10, 2021
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 10, 2021
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 2 across IA, NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 18, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 14, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2024
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across CA, IA, MI, WI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 10, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 14, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 2, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 26, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 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.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
Penalties & enforcement
Published fine amount: $33,598.00
Questions to ask
Facility history
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing increased from 0.78 to 0.90 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.78 → 0.90
CMS · Reported in a source release · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.94 to 0.78 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.94 → 0.78
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $33,598 civil monetary penalty.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: PREMIER ESTATES 502, LLC.
GRANDVIEW HEALTH CARE CENTER, INC. → PREMIER ESTATES 502, LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.054 | 2.326 |
| RN categories | 1.114 | 0.548 |
Contract staff accounted for 5.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.048 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.058 | 0.944 | 0.515 | 1.411 | 0% | 91 |
| 2025Q3 | 3.049 | 0.777 | 0.561 | 1.531 | 0.4% | 92 |
| 2025Q4 | 2.929 | 0.903 | 0.354 | 1.507 | 7.6% | 92 |
| 2026Q1 | 2.844 | 0.951 | 0.271 | 1.441 | 5.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
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