Nursing HomeMedicaid Top Rated

Gracewell, an Eventide Community

Strong Medicare quality ratings; families often praise compassionate and welcoming staff. Still worth an in-person visit.

114 South 20th Street, Denison, IA 51442|84 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 21 Google reviews

(712) 263-3114 Directions Website

Street View

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What this means for your family

Gracewell is highly regarded for its memory care unit and compassionate staff, making it a strong candidate for families seeking specialized care. However, you should conduct a thorough interview with management regarding their care philosophy and billing practices to address the serious concerns raised by some families about administrative leadership.

Google Reviews

21 reviews on Google

“Gracewell receives high praise for its memory care unit, with multiple families describing the staff as welcoming, passionate, and professional. However, the facility has faced serious allegations regarding leadership and management, with some reviewers expressing concerns about the treatment of residents based on their payment status.”

Quality Themes

Tap a score for details

Strengths

Compassionate and welcoming staff
Highly regarded memory care unit
Professional care environment
Strong family-oriented atmosphere

Concerns

Allegations of poor leadership and discriminatory treatment based on payment status

Rating Trends

Tap a year to see what changed

Distribution · 24 analyzed

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

1Given Gracewell’s strong reputation for memory care, how do you tailor daily activities to ensure residents feel engaged and part of the family-oriented community?
2With 23 state violations noted over the past year, could you walk us through the specific steps the leadership team is taking to address those findings and ensure consistent quality of care?
3We appreciate that Gracewell actively engages with feedback online; how does that open communication channel influence the way your leadership team supports residents and their families?
4How do you ensure that every resident receives the same high level of compassionate, professional care, regardless of their individual payment status or financial arrangements?
5In the event of a medical emergency, what is your protocol for coordinating care and keeping family members informed in real-time?
6Considering the feedback regarding value, what specific amenities or services do you feel truly set the Gracewell experience apart for your 84 residents?

Personalized based on this facility's data

Key Review Excerpts

“What a beautiful place and such great people working there, we are so lucking to have mom being cared for in memory lane.”

Memory care family member · 2025★★★★★

“Gracewell has been an absolute blessing for our family. Everyone there has been so professional and have taken the best care of our mom. I would highly recommend their memory care unit for your loved one.”

Long-term resident's family · 2025★★★★★

“They have excellent care. The staff is very welcoming and passionate. They also have a wonderful memory care unit where they are very kind and understanding.”

Long-term resident's family · 2025★★★★★

Source: 21 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.81hrs

Registered nurses for medical care

Total Nursing

3.45hrs

84%

All nurses + aides combined

Staff Turnover

20%

Lower is better (< 30% = good)

RN Turnover

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.1%

4.1%

Crawford

9.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.9%

Crawford

91.5%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility23.3%

Worse than Avg

Here

23.3%

15.5%

19.4%

Crawford

20.0%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility9.7%

Better than Avg

Here

9.7%

15.3%

17.5%

Crawford

16.2%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility11.7%

Better than Avg

Here

11.7%

14.4%

17.6%

Crawford

16.0%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility24.3%

Mixed vs Avgs

Here

24.3%

19.5%

20.7%

Crawford

25.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility98.8%

Better than Avg

Here

98.8%

81.8%

84.1%

Crawford

77.7%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility83.3%

Better than Avg

Here

83.3%

79.8%

73.3%

Crawford

72.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Crawford

1.9%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies

Well below state avg (6.2)

Clean record — no deficiencies

Gracewell has 20 deficiencies across three routine surveys with no complaint-triggered issues, showing persistent problems in fire safety systems, dietary services, and infection control. Smoke barrier door deficiencies appeared in both 2022 and 2024, and infection control violations occurred in 2023 and 2024, suggesting some issues may not be fully resolved. All deficiencies have correction dates, but the recurring patterns warrant attention during facility visits.

Oct 31, 2024Routine7 findings

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Sep 21, 2023Routine8 findings

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0922Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

Jul 21, 2022Routine5 findings

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

23deficiencies

Aug 28, 2025InspectionNo deficiencies

Clean