CCN 165196 · Webster County, Iowa
Grandview Health Care Center
508 2nd Street NE, Dayton, IA 50530
Grandview Health Care Center is a 40-bed for-profit nursing home in Dayton, Iowa, first certified for Medicare or Medicaid in 1994. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 34.0 residents a day, about 85% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $1.2 million in March 2006 (223(a)(7) refinance of a construction loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 40
- Average residents per day
- 34.0 (85.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Legal Business Name Not Available
- Certified since
- Jan 3, 1994
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 2.84 | 3.69 | 3.68 |
| RN hours per resident per day | 0.95 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 2.33 | ||
| Nursing staff turnover | 52.0% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 85.0% | 83.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 4 (Dec 11, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Grandview Health Care Center meets that part today: 2 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
In its Medicare enrollment record, the facility reported private equity ownership through Arboreta Healthcare, Inc. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Feb 1, 2016 | Premier Estates 502, LLC | Grandview Health Care Center, Inc. |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 30, 2006 | 223(a)(7) refinance of a construction loanHUD project name: Grandview Care Center, 21 beds. Lender at endorsement: Blueprint Real Estate Capital LLC | $1,203,500 | Ended Jul 31, 2015Prepayment | 07443078 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.