Nursing home
Grundy Care Center
102 East J Avenue, Grundy Center, IA 50638 · Map
For profit - Corporation · Part of Arboreta Healthcare (8 facilities) · 40 certified beds
Grundy Care Center is a Medicare-certified nursing home in Grundy Center, Iowa. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.32 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jan 8, 2026 cited 3 deficiencies.
- 2 fines totaling $65,677In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grundy Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.32 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.65 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.03 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 82.5% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 8, 2026 inspection was corrected by January 15, 2026
Penalties in CMS records: 2 fines totaling $65,677, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Grundy Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 20, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 7, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Nov 7, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Nov 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 102 East J Avenue
Grundy Center, IA 50638 - CMS certification #
- 165241
- Ownership
- For profit - Corporation
- Certified beds
- 40
- Avg residents/day
- 28.4
- Provider type
- Medicare and Medicaid
- First certified
- 1994-12-01
- Chain
- Arboreta Healthcare (8 facilities)
- Setting
- Urban
Part of Arboreta Healthcare
Arboreta Healthcare operates 8 nursing facilities across the United States. View all Arboreta Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grundy Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Grundy County Memorial Hospital, Grundy Center. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Creekside, Grundy Center. 0.4 miles away, straight line.
- Nearest home health agency office
- Greenbelt Home Care, Eldora. 17.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- NuCara. 10.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50638 as rural (rural area).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 50638.
Care Initiatives Hospice - Cedar Falls, office in Cedar Falls, 17.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Cedar Valley Hospice, office in Waterloo, 21.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Unitypoint Hospice, office in Waterloo, 21.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 22.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Grundy Care Center a good nursing home?
CMS gives Grundy Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Grundy Care Center staffed?
Grundy Care Center reports 3.32 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Grundy Care Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Grundy Care Center have?
Grundy Care Center is certified for 40 beds.