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St Francis Manor

St Francis Manor is a Nursing Home in Iowa

St Francis Manor is a Nursing Home in Iowa

St Francis Manor

St Francis Manor

Grinnell, IA 501122064 View Map

St Francis Manor is a Nursing Home in Iowa

St Francis Manor is a Nursing Home in Iowa

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Overview of St Francis Manor
St. Francis Manor in Grinnell, Iowa, is a nonprofit skilled and long-term care nursing facility with a dedicated transitional care unit and Rehabilitation Clinic. It offers a variety of community services, including home healthcare, speech, occupational and physical therapy, and a number of other conveniences. The facility is part of a 31-acre Life Plan Community that includes independent living homes and assisted living apartments.
(641) 236-7592
(641) 236-7592

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.32/day Iowa avg: 4.30/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Iowa avg: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Iowa avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Iowa avg: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 78

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 72.1%
Residents per day (avg) 55
Occupancy rate
72.1%
Residents per day (avg)
55

Who this home usually serves

Show admissions and discharges
TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for
Flexible care needs
How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

47% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit home
Other
Home revenue
$9.6M
Operating deficit
-$252.2K
Voluntary non-profit home Other
Home revenue
$9,554,652.00
Operating deficit
$-252,182.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
44.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
Total costs $9.7M

This home is administrated by Dion Schrack.

This home is owned by St Francis Manor Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165480

Show certification details

Bed community size
78-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
49 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy Rate
69%
Occupied Beds
54 of 78
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Free Standing NF/SNF
License Date
February 5, 1977

Additional licensing details

License number: 790736
CMS Certification Number: 165480
Certification type: FALSE
County: Poweshiek

Ownership & operating entity

St Francis Manor is administrated by Dion Schrack.

Care Services

Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Independent Living
Assisted Living
Skilled Nursing
Rehabilitation

Contact Information

Email: [email protected]
Fax: 6412368035

Amenities & Lifestyle

Walking track
exercise equipment
fitness classes
outpatient and inpatient physical
occupational and speech therapy services
hospital-to-home skilled nursing and rehabilitation services
long-term nursing and restorative care services

Programs & Activities

Specific Programs
Independent Living, Assisted Living, Home Healthcare, Rehabilitation Clinic, S.H.A.P.E. Fitness, Activities and Events

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

10 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Show Inspection Reports

Latest inspection

Date:April 17, 2025

3 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Iowa

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

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 501122064
78
No
ST FRANCIS MANOR INC
72.1%
$8,482,887.00
$4,274,724.00
50.4%
54.80
5/5
5.3175
5/5
5/5
5/5
-
1
-
+28%
+24%
-4%
Akron Care Center, INC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4/5
4.7098
4/5
5/5
1/5
-
4
-
+15%
+10%
+30%
Accura HealthCare of Carlisle
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
4/5
5.8515
3/5
5/5
4/5
-
17
2
-40%
+36%
+7%
Accura Healthcare of Spirit Lake
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
1/5
4.2922
1/5
4/5
3/5
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
1/5
5.1665
1/5
4/5
1/5
4
39
4
-33%
+20%
-7%
St Francis Manor St Francis Manor
Type of care: SNF AL
Community: IA 501122064
Bed Count: 78
Pets Allowed: No
Operator: ST FRANCIS MANOR INC
CCN: 165480
Occupancy: 72.1%
Home Revenue: $8,482,887.00
Payroll Costs: $4,274,724.00
Payroll %: 50.4%
Avg Residents/Day: 54.80
Overall Rating: 5/5
Adj Nurse Hours: 5.3175
Health Insp Rating: 5/5
Staffing Rating: 5/5
QM Rating: 5/5
Citations: 1
RN share vs State Avg: +28%
Staffing vs State Avg: +24%
Occupancy vs State Avg: -4%
Akron Care Center, INC Akron Care Center, INC
Type of care: SNF AL
Community: IA 510017716
Bed Count: 45
Pets Allowed: No
Operator: CITY OF AKRON
CCN: 165595
Occupancy: 98.1%
Home Revenue: $4,650,730.00
Payroll Costs: $2,144,112.00
Payroll %: 46.1%
Avg Residents/Day: 42.00
Overall Rating: 4/5
Adj Nurse Hours: 4.7098
Health Insp Rating: 4/5
Staffing Rating: 5/5
QM Rating: 1/5
Citations: 4
RN share vs State Avg: +15%
Staffing vs State Avg: +10%
Occupancy vs State Avg: +30%
Accura HealthCare of Carlisle
Type of care: SNF AL
Community: IA 500478733
Bed Count: 46
Pets Allowed: No
Operator: AMERICAN HEALTHCARE ASSOCIATES INC
CCN: 165311
Occupancy: 80.5%
Home Revenue: $4,098,046.00
Payroll Costs: $2,453,646.00
Payroll %: 59.9%
Avg Residents/Day: 38.90
Overall Rating: 4/5
Adj Nurse Hours: 5.8515
Health Insp Rating: 3/5
Staffing Rating: 5/5
QM Rating: 4/5
Citations: 17
Severe Citations: 2
RN share vs State Avg: -40%
Staffing vs State Avg: +36%
Occupancy vs State Avg: +7%
Accura Healthcare of Spirit Lake
Type of care: SNF AL
Community: IA 513601000
Bed Count: 85
Pets Allowed: No
CCN: 165528
Occupancy: 66.6%
Home Revenue: $7,053,735.00
Payroll Costs: $3,009,392.00
Payroll %: 42.7%
Avg Residents/Day: 65.20
Overall Rating: 1/5
Adj Nurse Hours: 4.2922
Health Insp Rating: 1/5
Staffing Rating: 4/5
QM Rating: 3/5
Number of Fines: 1
Citations: 21
Severe Citations: 1
RN share vs State Avg: -8%
Staffing vs State Avg: 0%
Occupancy vs State Avg: -12%
Accura Healthcare of Lake City, LLC Accura Healthcare of Lake City, LLC
Type of care: SNF AL
Community: IA 514499701
Bed Count: 46
Pets Allowed: No
Operator: ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN: 165082
Occupancy: 70.4%
Home Revenue: $2,045,587.00
Payroll Costs: $969,532.00
Payroll %: 47.4%
Avg Residents/Day: 39.80
Overall Rating: 1/5
Adj Nurse Hours: 5.1665
Health Insp Rating: 1/5
Staffing Rating: 4/5
QM Rating: 1/5
Number of Fines: 4
Citations: 39
Severe Citations: 4
RN share vs State Avg: -33%
Staffing vs State Avg: +20%
Occupancy vs State Avg: -7%
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Address Grinnell, IA 501122064

Address Grinnell, IA 501122064

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

155
Total Staff
131
Employees
24
Contractors
26,513
Total Hours (Quarter)
40
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
Role ⓘCount ⓘAvg Shift (hrs) ⓘUses Contractors? ⓘ
Registered Nurse237.6 No
Licensed Practical Nurse98.1 No
Certified Nursing Assistant747.4 Yes
Staff by Category
Administration ⓘ
2 staff
6.1hs shift avg
Nursing Staff ⓘ
124 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.8hs shift avg
Therapy Services ⓘ
16 staff
4.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.3hs shift avg
Dietary Services ⓘ
7 staff
7.1hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
4.9%
of total hours from contractors
1,286 contractor hours this quarter
Certified Nursing Assistant: 6 Physical Therapy Assistant: 3 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 4 Speech Language Pathologist: 2 Medical Director: 1 Physical Therapy Aide: 3 Occupational Therapy Assistant: 2 Qualified Social Worker: 2
Role ⓘEmployees ⓘContractors ⓘTotal Staff ⓘTotal Hours ⓘDays Worked ⓘ% of Days ⓘAvg Shift (hrs) ⓘ
Certified Nursing Assistant6867411,99991100%7.4
Registered Nurse230234,76791100%7.6
Licensed Practical Nurse9092,7589099%8.1
Medication Aide/Technician100102,3438796%7.3
Clinical Nurse Specialist3039566369%7.7
Other Dietary Services Staff6068376774%7.1
Nurse Aide in Training8086376875%6.4
Speech Language Pathologist1235548492%5.7
Administrator1014806066%8
Nurse Practitioner1014365358%8.2
Physical Therapy Aide0332225358%4.2
Respiratory Therapy Technician0441894549%3.9
Dietitian1011211719%7.1
Physical Therapy Assistant033913437%2.5
Occupational Therapy Aide01143910%4.8
Medical Director011352426%1.5
Qualified Social Worker022282123%1.3
Occupational Therapy Assistant0221844%4.4
View All Staffing Data

Health Inspection History

Total Health inspections 1
80% below Iowa average
Iowa average: 4.9

Last Health inspection on Jul 2023

Total Health citations 1
95% below Iowa average
Iowa average: 21.7

1 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 1 citations
Complaint investigations 1 citations
Breakdown of citations
Critical Health citations 0
100% below Iowa average
Iowa average: 0.6
Serious Health citations 0
100% below Iowa average
Iowa average: 0.9
Moderate Health citations 1
Minor Health citations 0
Citations history (last 3 years)
Quality of Care moderate citation Jul 13, 2023
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Resident Census by Payment Source
56 Total Residents
Medicare 4 (7.1%) ⓘ
Medicaid 17 (30.4%) ⓘ
Private Pay/Other 35 (62.5%) ⓘ
Programs & Services
Residents' Group ⓘ
CCRC ⓘ
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source. Specialized beds indicate capacity for specific care needs.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 8.4
18% better than Iowa average
Iowa average: 10.2
Functional decline score 20.3
6% better than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased 17.8%
6% below Iowa average.
Walking Ability Worsened 20.1%
2% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 23.0%
12% below Iowa average.
Safety & clinical stability
Falls with Major Injury 0.5%
86% below Iowa average.
High Risk Residents with Pressure Ulcers 1.3%
69% below Iowa average.
Urinary Tract Infection 7.6%
207% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms 4.6%
17% above Iowa average.
Antipsychotic Use 19.8%
4% above Iowa average.
Preventive care
Pneumococcal Vaccine 100.0%
6% above Iowa average.
Influenza Vaccine 100.0%
5% above Iowa average.
Nutrition & physical health
Lost Too Much Weight 2.4%
52% below Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 100.0%
18% better than Iowa average
Antipsychotic medication increase 1.3%
28% better than Iowa average
Influenza Vaccine 100.0%
36% better than Iowa average

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

General: Caregiver of someone 60+, Iowa resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

IA Specifics: Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

IA Specifics: Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

General: Age 55+, unemployed, low-income, Iowa resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

IA Specifics: Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

IA Specifics: High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

Income Limits (2025): No strict limit; must demonstrate repayment capacity.

Asset Limits: Not specified; credit-based.

IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.

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Author Image
Author: Jeremy Clerc
 Updated on Feb 27, 2026
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