Granger Nursing and Rehabilitation Center

Nursing Home & Assisted Living · Granger, IA

CMS overall rating

2001 Kennedy Street, Granger, Ia 501099746 View map

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Granger Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Granger Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Granger Nursing and Rehabilitation Center

Owned by Ian Christy, Granger Nursing and Rehabilitation Center is a skilled nursing community that serves residents through Medicare, Medicaid, and private pay. The 67-bed facility has an occupancy rate of 60%. Residents stay an average of 148 days, including short-term rehabilitation and ongoing nursing care.

Clinically, Granger offers a broad range of specialized services, including skilled and intermediate nursing care, short-term rehabilitation, and respite care. There’s also round-the-clock staffing support. The facility can manage complex medical needs such as IV therapy, ostomy care, diabetic management, enteral nutrition, tracheotomy care, and pain management. It’s best for residents requiring intensive nursing support and therapies.

Total nurse staffing averages 3 hours and 41 minutes per resident each day, providing substantial hands-on clinical support. Residents are also supported by registered nurse coverage of 25 minutes per resident daily, nurse aide assistance of 25 minutes, and LPN/LVN support of 24 minutes per day.

State inspections historically focused on medication management, resident dignity, and infection control practices. The facility has demonstrated substantial compliance, indicating that these areas are well managed.

The facility has comfortable rooms and peaceful common areas, with dining options available to residents. It’s located in a car-dependent area, so most errands require transportation. The facility’s focus on comprehensive skilled care and rehabilitation services makes it a great choice for families seeking intensive nursing and therapy support.

Facility Direct Line (712) 212-2030

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 41m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +10% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	25m per day	▼ 42% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	24m per day	▼ 28% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 47m per day	▲ 10% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 27m per day	▲ 3% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 44% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	17m per day	▼ 45% State avg: 30m per day · National avg: 28m per day

Capacity and availability

148 days

67-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 23 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

60%

Lower than the Iowa average: 75.4%

Occupied beds

40 / 67

Average occupied beds in Iowa homes 51 beds

COVID-19 Vigilance Award

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationMarch 1, 2027

CountyDallas

License Number250039

CMS Certification Number165208

Certification TypeFALSE

Granger Nursing and Rehabilitation Center is administered by Jason Dunlap.

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Short-Term Rehabilitation

Email jdunlap@grangernursinghomeandrehab.com

Fax5159992442

Comfortable Rooms

Peaceful Common Areas

Delicious Dining Options

Since 2020 · 6 years of data 89 deficiencies 22 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection November 24, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	89	27	This facility has 230% more total deficiencies than a typical Iowa assisted living residence (89 vs. IA avg 27).↑ 230% worse
Deficiencies per year Average deficiencies per year since 2020.	14.8	4.5	This facility has 229% more deficiencies per year than a typical Iowa assisted living residence (14.8 vs. IA avg 4.5).↑ 229% worse
Deficiencies per inspection Average deficiencies per inspection.	4	1.8	This facility has 122% more deficiencies per inspection than a typical Iowa assisted living residence (4 vs. IA avg 1.8).↑ 122% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	22	15	This facility has 47% more total inspections than a typical Iowa assisted living residence (22 vs. IA avg 15).↑ 47% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on November 24, 2025 found the facility in substantial compliance with no deficiencies.
The January 9, 2025 annual inspection identified 7 deficiencies including medication errors over 5%, failure to treat residents with dignity, and unsafe heating elements.
The February 12, 2024 inspection found 9 deficiencies with substantiated complaints related to dignity, medication errors, infection control, and incomplete employee background checks.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Jan 2025

Total health citations

State average N/A

Citations per inspection

12.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 38 citations resulted from standard inspections; and 21 of 38 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

37 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Nutrition moderate citation Jan 09, 2025

Corrected

Nutrition moderate citation Jan 09, 2025

Corrected

Pharmacy moderate citation Jan 09, 2025

Corrected

Care Planning moderate citation Jan 09, 2025

Corrected

Total staff 104

Employees 93

Contractors 11

Staff to resident ratio 2.60 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 24

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,058

Nursing staff breakdown

9.2 hours

9.1 hours

8.8 hours

Contractor staffing

842 contractor hours this quarter

Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Licensed Practical Nurse: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	31	0	31	6,560	92	100%	8.8
Medication Aide/Technician	31	0	31	6,088	92	100%	10.5
Registered Nurse	11	0	11	1,474	87	95%	9.2
Licensed Practical Nurse	8	1	9	1,364	83	90%	9.1
Administrator	2	0	2	520	62	67%	8
Physical Therapy Assistant	0	1	1	485	63	68%	7.7
RN Director of Nursing	2	0	2	483	55	60%	8.8
Dietitian	3	0	3	472	68	74%	6.7
Mental Health Service Worker	1	0	1	449	60	65%	7.5
Nurse Practitioner	2	0	2	445	54	59%	7.9
Other Dietary Services Staff	2	0	2	367	59	64%	6.2
Speech Language Pathologist	0	2	2	165	54	59%	3.1
Respiratory Therapy Technician	0	3	3	85	26	28%	3.3
Occupational Therapy Aide	0	1	1	58	42	46%	1.4
Occupational Therapy Assistant	0	1	1	27	4	4%	6.8
Qualified Social Worker	0	1	1	14	14	15%	1
Medical Director	0	1	1	2	2	2%	1

31 Certified Nursing Assistant

% of Days 100%

31 Medication Aide/Technician

% of Days 100%

11 Registered Nurse

% of Days 95%

9 Licensed Practical Nurse

% of Days 90%

2 Administrator

% of Days 67%

1 Physical Therapy Assistant

% of Days 68%

2 RN Director of Nursing

% of Days 60%

3 Dietitian

% of Days 74%

1 Mental Health Service Worker

% of Days 65%

2 Nurse Practitioner

% of Days 59%

2 Other Dietary Services Staff

% of Days 64%

2 Speech Language Pathologist

% of Days 59%

3 Respiratory Therapy Technician

% of Days 28%

1 Occupational Therapy Aide

% of Days 46%

1 Occupational Therapy Assistant

% of Days 4%

1 Qualified Social Worker

% of Days 15%

1 Medical Director

% of Days 2%

View All Staffing Data

Total fines amount $23K

52% lower than State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 1

88% more payment denials than State average

State average: 0.5

Fines amount comparison

This facility $23K

State average $48K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.0

In line with State average

State average: 10.2

Functional decline score 24.6

14% worse than State average

State average: 21.6

Long-stay resident measures

Below average State avg: 3.3

Need for Help with Daily Activities Increased 22.9%

22% worse than State average

State average: 18.8%

Walking Ability Worsened 16.4%

17% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 34.5%

32% worse than State average

State average: 26.2%

Falls with Major Injury 3.7%

In line with State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.4%

45% better than State average

State average: 4.4%

Urinary Tract Infection 0.6%

75% better than State average

State average: 2.5%

Lost Too Much Weight 4.4%

12% better than State average

State average: 5.0%

Depressive Symptoms 17.8%

359% worse than State average

State average: 3.9%

Antipsychotic Use 19.4%

In line with State average

State average: 19.0%

Pneumococcal Vaccine 98.8%

5% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 2.79

89% worse than State average

State average: 1.48

ED visits per 1,000 days 3.74

79% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 95.2%

12% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

44% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 40

Medicare

5% of residents

Medicaid

85% of residents

Private pay or other

10% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Granger Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 74.3% ↑ 3.6pp vs 2022

Net Patient Income -$311.1K ↑ ~$816.0K vs 2022

Payroll Costs $3.2M ↑ ~$651.2K vs 2022

Operating Margin -5.7% ↑ 20.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	76.1%	71.4%	70.8%	80.0%	76.7%	73.9%	76.4%	87.4%	88.3%	66.2%	62.6%	70.6%	74.3%
Beds	67	67	67	67	67	67	67	67	67	67	67	67	67
Net Income	-$89,387	-$184,453	-$399,775	-$412,739	-$471,492	-$91,940	-$434,406	-$83,892	-$206,488	$456,728	-$329,418	-$1,139,891	-$369,710
Gross Revenue	$5,580,500	$4,754,187	$4,254,210	$5,040,879	$4,607,653	$5,302,532	$5,119,918	$6,803,111	$6,214,656	$4,218,164	$7,013,858	$7,937,627	$8,511,283
Operating Expenses	$3,957,596	$3,576,000	$3,753,394	$4,136,267	$4,199,730	$4,042,531	$4,350,947	$4,903,486	$4,875,803	$3,593,753	$4,332,768	$5,361,789	$5,744,836
Net Patient Income	-$91,588	-$192,331	-$415,992	-$263,520	-$469,367	-$126,153	-$443,996	-$83,715	-$202,233	-$30,261	-$377,015	-$1,127,056	-$311,080
Net Patient Revenue	$3,866,008	$3,383,669	$3,337,402	$3,872,747	$3,730,363	$3,916,378	$3,906,951	$4,819,771	$4,673,570	$3,563,492	$3,955,753	$4,234,733	$5,433,756
Payroll Costs	$2,118,694	$1,973,308	$2,163,184	$2,473,991	$2,331,599	$2,022,652	$2,127,029	$2,266,253	$2,321,686	$1,470,634	$2,248,764	$2,537,570	$3,188,751
Operating Margin %	-2.4%	-5.7%	-12.5%	-6.8%	-12.6%	-3.2%	-11.4%	-1.7%	-4.3%	-0.9%	-9.5%	-26.6%	-5.7%
Medicare %	12.5%	7.4%	4.5%	6.3%	4.2%	6.3%	4.0%	8.0%	2.9%	13.5%	7.6%	3.9%	3.1%
Medicaid %	72.7%	77.6%	77.6%	76.9%	84.8%	85.2%	86.6%	80.8%	83.9%	72.6%	81.2%	78.0%	85.7%
Private %	14.9%	15.1%	17.9%	16.8%	11.0%	8.5%	9.4%	11.2%	13.2%	13.9%	11.2%	18.1%	11.3%
Net Patient Revenue/Day	$208	$193	$193	$198	$199	$216	$209	$225	$216	$263	$258	$245	$299
Cost/Day	$213	$204	$217	$211	$224	$223	$233	$229	$226	$265	$283	$310	$316
Avg Length of Stay	140.0 days	253.8 days	196.8 days	227.6 days	253.4 days	194.9 days	242.6 days	160.8 days	234.7 days	266.1 days	186.7 days	411.2 days	147.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.4M

Net patient income

-$311.1K

For-profit Operated by a single business entity.

Net patient revenue

$5.4M

Net patient income

-$311.1K

Other income

-$58.6K

Payroll costs

$3.2M 58.7% of net patient revenue

Other operating costs

$2.6M

Total costs

$5.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (44% of admissions), and a typical Medicaid stay runs around 1 years.

Coverage residents most often arrive under.

Medicare 18%

Private pay 38%

Medicaid 44%

Coverage residents most often leave under.

Medicare 11%

Private pay 28%

Medicaid 61%

0.0 miles from city center Estimated distance in miles from Granger's city center to Granger Nursing and Rehabilitation Center's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Granger Nursing and Rehabilitation Center	NH AL	Granger	-	67	-	23	-
Valley View Village	NH AL HC IL MC RC	Des Moines (Fairmont Park)	-	79	-	38	Studio / 1 Bed / 2 Bed
Ramsey Village Continuing Care	NH AL IL MC RC	Des Moines (Drake)	-	78	-	38	1 bed / 2 bed
Ridgecrest Village	NH AL IL MC	Davenport (Northwest Boulevard)	-	82	-	41	Studio / 1 Bed / 2 Bed
Mill Pond	NH AL IL MC	Ankeny	-	60	-	16	Studio / 1 Bed / 2 Bed

Nursing Home Explorer

Is Granger Nursing and Rehabilitation Center in a walkable area?

Granger Nursing and Rehabilitation Center has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Granger Nursing and Rehabilitation Center?

According to IA state health department records, Granger Nursing and Rehabilitation Center's license number is 250039.

When does Granger Nursing and Rehabilitation Center's license expire?

According to IA state health department records, Granger Nursing and Rehabilitation Center's license expires on March 1, 2027.

What is the occupancy rate at Granger Nursing and Rehabilitation Center?

Granger Nursing and Rehabilitation Center's occupancy is 60%.

What is the best email address for Granger Nursing and Rehabilitation Center?

The team at Granger Nursing and Rehabilitation Center can be reached at jdunlap@grangernursinghomeandrehab.com.

Does Granger Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Granger Nursing and Rehabilitation Center is registered as a for-profit in IA.

Who is the administrator of Granger Nursing and Rehabilitation Center?

Jason Dunlap is the administrator of Granger Nursing and Rehabilitation Center.

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Granger Nursing and Rehabilitation Center

Overview of Granger Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Amenities & Lifestyle

Contact Granger Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

31 Certified Nursing Assistant

31 Medication Aide/Technician

11 Registered Nurse

9 Licensed Practical Nurse

2 Administrator

1 Physical Therapy Assistant

2 RN Director of Nursing

3 Dietitian

1 Mental Health Service Worker

2 Nurse Practitioner

2 Other Dietary Services Staff

2 Speech Language Pathologist

3 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Qualified Social Worker

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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