Grand View Care Center

Nursing Home, Assisted Living, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Blair, WI

CMS overall rating

620 Grandview Ave, Blair, WI 54616 View map

Calculator: See prices in your area

Grand View Care Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Grand View Care Center accepts Medicare, Medicaid, and private pay.

Overview of Grand View Care Center

Grand View Care Center is a 50-bed skilled nursing facility in Blair, Wisconsin, providing a care mix that includes short-term rehabilitation, 24-hour skilled nursing, memory care, and respite stays in Trempealeau County. The nonprofit center is operated by Grand View Care Center Inc. and accepts Medicare, Medicaid, and private pay. The facility holds a 1-star overall CMS rating. The Health Inspection sub-rating — the primary driver — is 66.8% below the Wisconsin average. Across inspections from 2022 through 2025, Grand View averaged 8 deficiencies per year, 74% above the state figure of 4.6. The record includes a February 2025 Immediate Jeopardy finding for inadequate pressure injury care affecting two residents and substantiated findings of staff physical abuse and repeated failures to report abuse incidents to state authorities within required timeframes. No fines or formal enforcement actions appear in the available reports. Staffing runs in the other direction: nurse staffing averages 4 hours and 15 minutes per resident per day, roughly 10.5% above the Wisconsin average. Meals are served in a full-kitchen dining room, and an active Resident Council meets regularly to discuss the quality of care and facility policies. The facility’s occupancy rate is 90% — well above the Wisconsin average of 70% — reflecting consistent local demand in a rural setting with limited nearby options. About 59% of new admissions arrive on Medicare for short-term rehabilitation, and the facility’s Medicaid acceptance positions it as a long-term option for Trempealeau County residents who need skilled nursing care close to home. However, families considering placement should review the facility’s recent findings and inspection history.

Facility Direct Line (608) 989-2511

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Wisconsin state averages

Total nursing care / resident

4h 15m per day

This facility Wisconsin avg (4h 17m per day)

vs Wisconsin avg

-1%

3 of 6 metrics below state avg

Standout metric Nurse Aide is +36% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	41m per day	▼ 29% State avg: 58m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	42m per day	▲ 12% State avg: 38m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 31m per day	▲ 36% State avg: 2h 35m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 10m per day	▲ 12% State avg: 3h 43m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 73% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	26m per day	▼ 35% State avg: 40m per day · National avg: 28m per day

Capacity and availability

1,389 days

50-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 31 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

90%

Higher than the Wisconsin average: 70%

Occupied beds

45 / 50

Average occupied beds in Wisconsin homes 54 beds

Facility TypeSkilled Care

CountyTrempealeau

CMS Certification Number525624

Certification TypeTitle 18 SNF Title 19 NF

Grand View Care Center is legally operated by Leah Steele.

Owner NameGrand View Care Center Inc

Profit StatusNonprofit

Rehabilitation Services

Fax(608) 989-2679

Pets not allowed

Activities

Since 2022 · 4 years of data 32 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Wisconsin state average

Overall vs. WI average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	WI Average	vs. WI Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	32	12	This facility has 167% more total deficiencies than a typical Wisconsin assisted living residence (32 vs. WI avg 12).↑ 167% worse
Deficiencies per year Average deficiencies per year since 2022.	8	3	This facility has 167% more deficiencies per year than a typical Wisconsin assisted living residence (8 vs. WI avg 3).↑ 167% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

February 25, 2025 complaint investigation found immediate jeopardy for pressure injury care failures, harm from falls, abuse reporting delays, and lack of compliance and ethics training programs.
April 17, 2025 routine inspection cited five deficiencies including unsafe mechanical lift use, improper catheter care, pain assessment gaps, and unsecured, mislabeled medications.
January 24, 2024 routine survey identified seven deficiencies but no immediate jeopardy; issues included incomplete care plans, medication errors, staffing postings, and infection control lapses.

Show Inspection Reports

Inspections since 2022

Total health inspections 7

State average 6

Last Health inspection on Apr 2025

Total health citations

State average 27.3

Citations per inspection

4.43

State average 4.19

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

15 of 31 citations resulted from standard inspections; 15 of 31 resulted from complaint investigations; and 1 of 31 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

11% worse than State average

State average: 0.9

Serious health citations

150% worse than State average

State average: 1.2

1 critical citation State average: 0.9

3 serious citations State average: 1.2

24 moderate citations State average: 24.7

3 minor citations State average: 0.6

Citations history (last 4 years)

Pharmacy moderate citation Apr 17, 2025

Corrected

Pharmacy moderate citation Apr 17, 2025

Corrected

Quality of Care moderate citation Apr 17, 2025

Corrected

Quality of Care moderate citation Apr 17, 2025

Corrected

Total staff 107

Employees 77

Contractors 30

Staff to resident ratio 2.43 : 1

0% compared with Wisconsin average

Avg staff/day 37

Average shift 7.1 hours

0% compared with Wisconsin average

Total staff hours (quarter) 24,060

Nursing staff breakdown

7.9 hours

8.4 hours

7.2 hours

Contractor staffing

5,486 contractor hours this quarter

Certified Nursing Assistant: 11 Licensed Practical Nurse: 4 Diagnostic X-ray Services Staff: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Occupational Therapy Aide: 1 Feeding Assistant: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	45	11	56	14,313	92	100%	7.2
Licensed Practical Nurse	4	4	8	2,470	92	100%	8.4
Registered Nurse	8	0	8	1,678	92	100%	7.9
Clinical Nurse Specialist	2	0	2	783	70	76%	6.7
Nurse Aide in Training	3	0	3	611	71	77%	5.7
Other Dietary Services Staff	3	0	3	585	69	75%	6.6
RN Director of Nursing	1	0	1	526	67	73%	7.9
Administrator	1	0	1	480	60	65%	8
Mental Health Service Worker	1	0	1	473	64	70%	7.4
Speech Language Pathologist	3	3	6	469	60	65%	5.8
Nurse Practitioner	1	0	1	433	55	60%	7.9
Physical Therapy Aide	1	2	3	377	63	68%	5.9
Qualified Social Worker	1	0	1	269	42	46%	6.4
Dietitian	1	0	1	230	56	61%	4.1
Physical Therapy Assistant	1	1	2	116	28	30%	3.6
Respiratory Therapy Technician	1	2	3	76	23	25%	3.2
Occupational Therapy Aide	0	1	1	52	16	17%	3.3
Medical Director	0	1	1	42	7	8%	5.9
Diagnostic X-ray Services Staff	0	3	3	35	36	39%	0.8
Feeding Assistant	0	1	1	27	5	5%	5.3
Occupational Therapy Assistant	0	1	1	18	3	3%	5.8

56 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 100%

2 Clinical Nurse Specialist

% of Days 76%

3 Nurse Aide in Training

% of Days 77%

3 Other Dietary Services Staff

% of Days 75%

1 RN Director of Nursing

% of Days 73%

1 Administrator

% of Days 65%

1 Mental Health Service Worker

% of Days 70%

6 Speech Language Pathologist

% of Days 65%

1 Nurse Practitioner

% of Days 60%

3 Physical Therapy Aide

% of Days 68%

1 Qualified Social Worker

% of Days 46%

1 Dietitian

% of Days 61%

2 Physical Therapy Assistant

% of Days 30%

3 Respiratory Therapy Technician

% of Days 25%

1 Occupational Therapy Aide

% of Days 17%

1 Medical Director

% of Days 8%

3 Diagnostic X-ray Services Staff

% of Days 39%

1 Feeding Assistant

% of Days 5%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $91K

In line with Wisconsin average

Wisconsin average: $95K

Number of fines 1

52% fewer fines than Wisconsin average

Wisconsin average: 2.1

Payment Denials 1

51% more payment denials than Wisconsin average

Wisconsin average: 0.7

Fines amount comparison

This facility $91K

Wisconsin average $95K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Feb 25, 2025

$91K

Payment Denial Feb 25, 2025

6 days

Last updated: Jan 2026

High-risk clinical events score 9.0

14% better than Wisconsin average

Wisconsin average: 10.5

Functional decline score 20.9

6% better than Wisconsin average

Wisconsin average: 22.1

Long-stay resident measures

Below average Wisconsin avg: 3.0

Need for Help with Daily Activities Increased 21.0%

19% worse than Wisconsin average

Wisconsin average: 17.6%

Low Risk Residents with Bowel/Bladder Incontinence 20.8%

20% better than Wisconsin average

Wisconsin average: 26.0%

Falls with Major Injury 2.8%

13% better than Wisconsin average

Wisconsin average: 3.2%

High Risk Residents with Pressure Ulcers 2.9%

47% better than Wisconsin average

Wisconsin average: 5.4%

Urinary Tract Infection 5.2%

63% worse than Wisconsin average

Wisconsin average: 3.2%

Lost Too Much Weight 9.2%

89% worse than Wisconsin average

Wisconsin average: 4.9%

Depressive Symptoms 0.0%

100% better than Wisconsin average

Wisconsin average: 5.0%

Antipsychotic Use 17.8%

11% worse than Wisconsin average

Wisconsin average: 16.1%

Pneumococcal Vaccine 99.4%

In line with Wisconsin average

Wisconsin average: 95.9%

Influenza Vaccine 83.7%

12% worse than Wisconsin average

Wisconsin average: 95.0%

Hospitalizations per 1,000 days 2.54

58% worse than Wisconsin average

Wisconsin average: 1.61

ED visits per 1,000 days 5.01

129% worse than Wisconsin average

Wisconsin average: 2.19

Short-stay resident measures

Pneumococcal Vaccine 80.6%

8% worse than Wisconsin average

Wisconsin average: 87.3%

Antipsychotic medication increase 0.0%

100% better than Wisconsin average

Wisconsin average: 1.2%

Falls with major injury 0.0%

100% better than Wisconsin average

Wisconsin average: 0.8%

Successful return to home or community 44.7%

12% worse than Wisconsin average

Wisconsin average: 50.6%

Breakdown by payment type

Medicare

59% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

24% of new residents, often for short stays.

Typical stay 1 years

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Total residents 44

Medicare

4.5% of residents

Medicaid

75% of residents

Private pay or other

20.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Grand View Care Center from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 91.1% ↑ 1.0pp vs 2023

Net Patient Income -$747.7K ↓ ~$347.4K vs 2023

Payroll Costs $3.1M ↑ ~$133.6K vs 2023

Operating Margin -12.1% ↓ 5.2pp vs 2023

Metric	2012	2013	2014	2015	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	95.0%	96.9%	96.8%	92.3%	87.8%	84.2%	83.5%	77.2%	61.3%	57.8%	90.1%	91.1%
Beds	98	98	98	98	98	98	98	98	98	62	62	50
Net Income	$528,835	$312,774	$171,425	$197,675	$114,815	$213,089	-$185,669	-$315,413	$547,039	-$92,159	-$271,267	-$556,435
Gross Revenue	$6,006,088	$5,999,714	$6,093,369	$6,089,503	$6,302,939	$6,349,932	$6,451,296	$6,321,074	$5,095,135	$5,750,572	$6,429,578	$6,299,051
Operating Expenses	$5,943,386	$6,130,416	$6,238,294	$6,323,926	$6,510,829	$6,436,189	$6,876,000	$6,883,421	$6,375,515	$5,674,892	$6,169,837	$6,920,631
Net Patient Income	$393,170	$107,263	$54,808	$60,507	$32,734	$105,505	-$298,157	-$517,817	-$1,318,394	-$508,967	-$400,325	-$747,705
Net Patient Revenue	$6,336,556	$6,237,679	$6,293,102	$6,384,433	$6,543,563	$6,541,694	$6,577,843	$6,365,604	$5,057,121	$5,165,925	$5,769,512	$6,172,926
Payroll Costs	$3,904,568	$4,104,071	$4,268,543	$4,242,826	$4,441,996	$4,376,304	$4,613,980	$4,538,119	$4,128,864	$3,574,257	$2,975,831	$3,109,471
Operating Margin %	6.2%	1.7%	0.9%	1.0%	0.5%	1.6%	-4.5%	-8.1%	-26.1%	-9.9%	-6.9%	-12.1%
Medicare %	3.9%	2.3%	2.4%	3.3%	4.1%	3.1%	4.1%	3.0%	2.4%	1.6%	2.9%	5.2%
Medicaid %	0.0%	0.0%	0.0%	72.2%	65.5%	62.3%	60.4%	62.0%	66.3%	56.5%	54.7%	66.8%
Private %	96.1%	97.7%	97.6%	24.5%	30.4%	34.6%	35.5%	35.1%	31.3%	41.9%	42.4%	28.0%
Net Patient Revenue/Day	$186	$180	$182	$193	$208	$217	$220	$230	$230	$239	$283	$370
Cost/Day	$175	$177	$180	$191	$207	$214	$230	$249	$291	$262	$303	$415
Avg Length of Stay	309.6 days	737.7 days	427.7 days	347.7 days	345.1 days	456.4 days	378.0 days	254.0 days	535.2 days	1,004.5 days	433.9 days	1,389.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$6.2M

Net patient income

-$747.7K

Nonprofit Nonprofit Corporation

Net patient revenue

$6.2M

Net patient income

-$747.7K

Other income

$191.3K

Payroll costs

$3.1M 50.4% of net patient revenue

Other operating costs

$3.8M

Total costs

$6.9M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 29 days.

Coverage residents most often arrive under.

Medicare 59%

Private pay 24%

Medicaid 18%

Coverage residents most often leave under.

Medicare 58%

Private pay 33%

Medicaid 8%

0.0 miles from city center Estimated distance in miles from Blair's city center to Grand View Care Center's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Grand View Care Center

Add your location

Compare Nursing Homes around the area

The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.


Harbor Haven Health & Rehabilitation	NH HOS MC PC SNF	Fond Du Lac	-	85 Facility 85 WI AVG 61 Rank #108 / 495	-	57 Facility 57 WI AVG 42 Rank #176 / 580	Private / Semi-Private Rooms
Lasata Care Center	NH AL IL SNF	Cedarburg	-	106 Facility 106 WI AVG 61 Rank #56 / 495	A+	84 Facility 84 WI AVG 42 Rank #31 / 580	-
Shady Lane Nursing Care Center	NH AL MC RC SNF	Manitowoc	-	50 Facility 50 WI AVG 61 Rank #235 / 495	A+	75 Facility 75 WI AVG 42 Rank #72 / 580	-
Maplewood of Sauk Prairie	NH MC PC RC SNF	Sauk City	-	120 Facility 120 WI AVG 61 Rank #33 / 495	A+	67 Facility 67 WI AVG 42 Rank #113 / 580	-
Grand View Care Center	NH AL MC PC RC SNF	Blair	-	50 Facility 50 WI AVG 61 Rank #235 / 495	-	31 Facility 31 WI AVG 42 Rank #371 / 580	-

Nursing Home Explorer

Who is the owner of Grand View Care Center?

Grand View Care Center is legally operated by Leah Steele.

Is Grand View Care Center in a walkable area?

Grand View Care Center has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Grand View Care Center?

Grand View Care Center's occupancy is 90%.

Are pets allowed at Grand View Care Center?

No, Grand View Care Center has a no-pet policy.

Does Grand View Care Center operate as a for-profit or non-profit?

Grand View Care Center is registered as a non-profit in WI.

Who is the administrator of Grand View Care Center?

Leah Steele is the administrator of Grand View Care Center.

How many beds does Grand View Care Center have?

Grand View Care Center has 50 beds.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Grand View Care Center

Overview of Grand View Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Grand View Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

56 Certified Nursing Assistant

8 Licensed Practical Nurse

8 Registered Nurse

2 Clinical Nurse Specialist

3 Nurse Aide in Training

3 Other Dietary Services Staff

1 RN Director of Nursing

1 Administrator

1 Mental Health Service Worker

6 Speech Language Pathologist

1 Nurse Practitioner

3 Physical Therapy Aide

1 Qualified Social Worker

1 Dietitian

2 Physical Therapy Assistant

3 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Medical Director

3 Diagnostic X-ray Services Staff

1 Feeding Assistant

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Grand View Care Center

Calculate Travel Distance to Grand View Care Center

Compare Nursing Homes around the area

Guides for Better Senior Living