Grundy Care Center
102 East J Avenue · Grundy Center, IA · 50638 · 3198245436
40 certified beds For profit - Corporation Chain: Campbell Street Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $48,796 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 2 · $65,677 |
Inspection citations (35 in the current record)
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Potential for harm · D January 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2026 · Nutrition and Dietary
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Potential for harm · F January 8, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 15, 2026 · Administration
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Potential for harm · D November 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 27, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 7, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · E November 7, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 26, 2024 · Nursing and Physician Services
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Potential for harm · D November 7, 2024
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.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · D November 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 26, 2024 · Nutrition and Dietary
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Potential for harm · D November 7, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 26, 2024 · Administration
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Potential for harm · D November 7, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected November 26, 2024 · Administration
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Potential for harm · D November 7, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · E November 7, 2024 · found via complaint
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.
Corrected November 26, 2024 · Nursing and Physician Services
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No harm found · B November 7, 2024
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.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D August 27, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · F August 1, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 31, 2024 · Nursing and Physician Services
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Potential for harm · F August 1, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 31, 2024 · Nutrition and Dietary
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Potential for harm · F August 1, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 31, 2024 · Nutrition and Dietary
-
No harm found · C August 1, 2024 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected August 31, 2024 · Nutrition and Dietary
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Immediate jeopardy · K August 17, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K August 17, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2023 · Quality of Life and Care
-
Potential for harm · D August 17, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 12, 2023 · Resident Rights
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Potential for harm · D August 17, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2025 | Fine | $48,796 |
| August 17, 2023 | Fine | $16,881 |
| August 17, 2023 | Payment Denial | 33 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165241 · certified since December 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.