Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 11 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
3 findings in latest survey
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 73% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Grundy Care Center receives highly polarized feedback, with recent reports highlighting severe regulatory failures and safety concerns. While some long-term families and rehab patients have reported positive experiences with the care team, the facility has recently been placed on the CMS Special-Focus Facilities list due to documented violations regarding staffing, resident abuse, and quality of care.
Quality Themes
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Concerns
Rating Trends
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Distribution · 17 analyzed
Personalized based on this facility's data
Key Review Excerpts
“I stayed here for skilled care while recovering from a broken femur. It is an older facility (thus the 4 stars) but I felt very well cared for. They have a great, caring team!”
“The DON took her phone so we could not speak with her!”
“In Nov 2024 they were cited for 12 violations including failure to meet professional standards, inadequate quality of care, insufficient nurse staffing, inadequate procurement, preparation or serving of food, and inadequate quality assurance measures.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 16 measures
10
measures
4
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Grundy Care Center has concerning repeat issues with resident protection from abuse and neglect, appearing in multiple complaint-driven investigations where families filed reports. The facility struggles most with nursing staffing adequacy, medication management, and food safety, with problems persisting across recent surveys. While all deficiencies show correction dates, the pattern of recurring complaints about fundamental care areas raises questions about sustained quality improvements.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Notify 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.
Nursing and Physician Services Deficiencies
Have 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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal Penalties
Fine
Jan 7, 2025
$48,796
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 2, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 1, State violations: 2
Fed violations: 0, State violations: 0
Grundy Care Center
for profit
Campbell Street Services
22 facilities nationwide
Chain avg rating: 2.3/5 · Rank 7 of 7 (Lowest rating)
Owners
Dole, Isaac
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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