Grandview Healthcare Center: Staffing, Turnover, and Inspection Record
Grandview Healthcare Center is a 102-bed for-profit nursing home in Washington, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 1.94 nurse aide hours per resident per day, 15% below the Missouri average of 2.29, and 68.6% nursing staff turnover (Missouri average 56.0%).
Grandview Healthcare Center
201 Grand AveWashington, MO 63090
Franklin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grandview Healthcare Center, nurse aides logged 1.94 hours per resident per day, 15% below the Missouri average. With about 57 residents a day, that works out to roughly 111 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.94 | 2.29 | 2.32 |
| Licensed practical nurses | 0.85 | 0.68 | 0.86 |
| Registered nurses | 0.31 | 0.46 | 0.69 |
| All nursing staff | 3.11 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.84 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.6% of nursing staff at Grandview Healthcare Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grandview Healthcare Center holds 2 of 5 overall; the Missouri average is 2.5.
About Grandview Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: James & Judy Lincoln, 56 homes
- Legal name: Washington N & R, LLC
- Medicare and Medicaid certified since: Jun 29, 1989
- Councils: resident council
- Area: urban
Nursing homes near Grandview Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Sunset Health Care Center Union | 8.0 | 120 | 1.97 | 2.91 | 26.7% | 2 | $8,281 |
| Union Nursing Union | 10.1 | 60 | 2.05 | 2.95 | 54.5% | 4 | None |
| New Haven Care Center New Haven | 10.8 | 90 | 1.90 | 3.09 | 38.2% | 4 | None |
| St Clair Nursing Center Saint Clair | 14.7 | 79 | 2.40 | 3.83 | 56.2% | 5 | $12,735 |
| Pacific Care Center Pacific · many days without an RN | 16.5 | 118 | 1.53 | 2.40 | 66.7% | 1 | None |
| Warrenton Manor Wright City | 18.6 | 120 | 2.31 | 3.07 | 43.2% | 1 | None |
| Cottages of Lake St Louis Lake Saint Louis | 20.0 | 60 | 3.92 | 6.03 | 57.5% | 4 | $17,696 |
| Sunterra Springs Dardenne Prairie Dardenne Prairie | 20.6 | 38 | 2.20 | 4.46 | 76.1% | 2 | $49,722 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.