Occupancy rate
59%
In line with Missouri averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Washington
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Grandview Healthcare Center
Nursing Home in Washington
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Grandview Healthcare Center
Grandview Healthcare Center is a nursing home in Washington, MO, offering rehabilitation and skilled nursing. Promoting a supportive and welcoming environment, the community strives to keep older adults comfortable and safe. 24-hour care, housekeeping, laundry, and healthy meals are also provided to improve residents’ quality of life. The community also works closely with residents to provide the best possible care tailored to their unique needs and preferences.
Social events, light exercises, and beauty services ensure residents can focus on their wellness and make friends. Spacious living areas and accessible amenities are also available, so residents freely interact with their surroundings and rest comfortably. Located near Lions Lake in the tree-lined neighborhood of Washington, the community guarantees a laid-back lifestyle. As one of the trusted options for senior living in Missouri, this nursing home ensures older adults can thrive in retirement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
102
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59%
Residents per day (avg)
48
Occupancy rate
59%
Residents per day (avg)
48
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
45% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M
Operating loss
-$378.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,078,963.00
Operating loss
$-378,594.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
102-bed community
A larger shared setting that may offer more common spaces and organized community services.
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
60 / 102
Average residents
72 per day
Facility TypeSnf
CountyFRANKLIN
CMS Certification Number265374
Certification TypeMedicare/Medicaid
Grandview Healthcare Center is administrated by Colette Briggs.
Owner NameWASHINGTON N & R, LLC
Staffing
Key information about the people who lead and staff this community.
ContactLadonna Livell
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Activities
Hospice
24 Hour Skilled Nursing
Iv Therapy
Wound Management
Tube Feedings
Professional Medical Care
Complex Diabetes Treatment
Ostomy Care
Respite Care
Pharmacy Services
Pastoral Care
Restorative Feeding
Rehab Services
Orthopedic Care
Amputation Recovery
Neurological & Neuromuscular Disorders
Complete Dining Services
Social Services
Beauty & Barber On-Site
Array Of Daily Activities
Laundry & Housekeeping
Specific ProgramsAbout Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us, Pay My Bill
Food DescriptionThe facility offers complete dining services with a variety of nutritious meals and snacks that residents can choose from based on their individual preferences.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Sep 2025
Total health citations
27
Missouri average 36.5
Citations per inspection
5.4
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 27 citations resulted from standard inspections; and 2 of 27 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
23 moderate citations
3 minor citations
Citations history (last 3 years)
Care Planning serious citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 05, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 05, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 11, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 11, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 11, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 11, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 11, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Washington The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Grandview Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Homes in Washington
102
59.0%
-11%
2.93
-22%
0
27
5.4
1
48
A+
Lawson, Shelia
$5.0M
$2.5M
50.7%
265374
Places of interest near Grandview Healthcare Center
0.0 miles from city center
201 GRAND AVE, WASHINGTON, MO 63090-1209
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
66
Employees
50
Contractors
16
Staff to resident ratio
1.38:1
20% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
24
Average shift
6.9 hours
15% worse than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
15,079
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.3%
944 contractor hours this quarter
Physical Therapy Assistant: 4
Physical Therapy Aide: 4
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 2
Speech Language Pathologist: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 17 | 0 | 17 | 4,791 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,330 | 91 | 100% | 7.7 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,331 | 87 | 96% | 6.8 |
| Medication Aide/Technician | 5 | 0 | 5 | 824 | 68 | 75% | 7.9 |
| Registered Nurse | 4 | 0 | 4 | 790 | 81 | 89% | 6.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 663 | 87 | 96% | 7.4 |
| Administrator | 2 | 0 | 2 | 610 | 70 | 77% | 7.7 |
| Dental Services Staff | 1 | 0 | 1 | 479 | 59 | 65% | 8.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 471 | 57 | 63% | 8.3 |
| RN Director of Nursing | 1 | 0 | 1 | 426 | 52 | 57% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 421 | 60 | 66% | 7 |
| Speech Language Pathologist | 0 | 1 | 1 | 340 | 64 | 70% | 5.3 |
| Physical Therapy Aide | 0 | 4 | 4 | 234 | 56 | 62% | 3.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 207 | 42 | 46% | 4.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 100 | 36 | 40% | 2.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 31 | 6 | 7% | 5.2 |
| Qualified Social Worker | 0 | 1 | 1 | 19 | 16 | 18% | 1.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
17 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
6 Nurse Aide in Training
% of Days
96%
5 Medication Aide/Technician
% of Days
75%
4 Registered Nurse
% of Days
89%
2 Other Dietary Services Staff
% of Days
96%
2 Administrator
% of Days
77%
1 Dental Services Staff
% of Days
65%
1 Clinical Nurse Specialist
% of Days
63%
1 RN Director of Nursing
% of Days
57%
1 Nurse Practitioner
% of Days
66%
1 Speech Language Pathologist
% of Days
70%
4 Physical Therapy Aide
% of Days
62%
4 Physical Therapy Assistant
% of Days
46%
3 Respiratory Therapy Technician
% of Days
40%
2 Occupational Therapy Aide
% of Days
7%
1 Qualified Social Worker
% of Days
18%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
48 residents
Residents by payment source
Medicare
2 residents (4.2%)
Medicaid
32 residents (66.7%)
Private pay or other
14 residents (29.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
23% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
34% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
55% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.8%
Percent of long-stay residents whose ability to move independently worsened
17.8%
14% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.9%
34% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
67% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
39% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.4%
Percent of long-stay residents with a urinary tract infection
3.4%
26% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.7%
Percent of long-stay residents who lose too much weight
5.7%
In line with Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
Percent of long-stay residents who have depressive symptoms
0.6%
95% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.4%
Percent of long-stay residents who received an antipsychotic medication
19.4%
12% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
49% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
10% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Grandview Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
59.0%
↓ 5.7pp vs 2022
Net Income
-$378,594
↑ ~$122K vs 2022
Total Payroll
$3,100,732
↓ ~$441K vs 2022
Profit Margin
-7.6%
↑ 1.8pp vs 2022
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Guides for Better Senior Living
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