Grand River Bottoms offers limited direct access to Truman Reservoir via numerous dead-end dirt roads, along with approximately 9 miles of South Grand River access and Fields Creek for paddling and fishing opportunities.

The area features an unstaffed shooting range and allows hunting, fishing, and primitive camping, though visitors should note that portions are closed to waterfowl hunting from October 15 through the end of waterfowl season.

Access is south of Clinton on Highway 13 via SW 450 to Route T, then west to SW 351 and north.