Occupancy rate
60%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Granger Nursing and Rehabilitation Center
Granger Nursing and Rehabilitation Center is located in Granger, Iowa. It provides skilled nursing and long-term care services. The facility offers compassionate, around-the-clock care tailored to each resident’s unique needs.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
67
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
59.7%
Residents per day (avg)
47
Occupancy rate
59.7%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.5M
Operating loss
-$369.7K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8,452,653.00
Operating loss
$-369,710.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
67-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
40 / 67
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Dallas
Additional licensing details
License number:
250039
CMS Certification Number:
165208
Certification type:
FALSE
Awards:
COVID-19 Vigilance Award
Ownership & operating entity
Granger Nursing and Rehabilitation Center is administrated by Jason Dunlap.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5159992442
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled care, Intermediate care, Short-term/respite care, Nursing rehabilitation and therapy services, IV therapy, Ostomy care, Wound care, Diabetic care, Enteral nutrition, Tracheotomy care, Pain management
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.
22 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:November 24, 2025
50 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Granger Nursing and Rehabilitation Center
The most recent inspection on November 24, 2025 found the facility in substantial compliance with no deficiencies noted. Earlier inspections showed a pattern of multiple deficiencies related primarily to resident dignity and respect, medication errors, care planning, environmental safety, and dietary staffing and food handling. Prior complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility corrected previous deficiencies identified in earlier years, including serious infection control and resident rights issues found in 2023 and 2024. Overall, the inspection history indicates improvement over time with recent surveys showing compliance and resolution of prior concerns.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Jan 2025
Total health citations
38
Citations per inspection
12.67
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
1
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
1 critical citation
0 serious citations
37 moderate citations
0 minor citations
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
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.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
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
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
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
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
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
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
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
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Granger Nursing and Rehabilitation Center
-27%
-14%
-2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 501099746
67
CHRISTY, IAN
74.3%
$8,511,283.00
$2,815,593.00
33.1%
46.50
3.6900
1
38
1
-27%-14%-2%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
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:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
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:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
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:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%
Granger Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
IA 501099746
Bed Count:
67
Operator:
CHRISTY, IAN
CCN:
165208
Occupancy:
74.3%
Home Revenue:
$8,511,283.00
Payroll Costs:
$2,815,593.00
Payroll %:
33.1%
Avg Residents/Day:
46.50
Overall Rating:
Adj Nurse Hours:
3.6900
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
38
Severe Citations:
1
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
-2%
-2%Places of interest near Granger Nursing and Rehabilitation Center
Granger, IA 501099746
Granger, IA 501099746
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
59
Total Staff
47
Employees
12
Contractors
16,610
Total Hours (Quarter)
21
Avg Staff/Day
8.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 10.7 | No |
| Licensed Practical Nurse | 4 | 8.5 | Yes |
| Certified Nursing Assistant | 19 | 9.3 | No |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
42 staff
9.7hs shift avg
Physicians & Practitioners ⓘ
1 staff
8hs shift avg
Therapy Services ⓘ
9 staff
4.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.4hs shift avg
Dietary Services ⓘ
3 staff
6.5hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
5.2%
of total hours from contractors
864 contractor hours this quarter
Licensed Practical Nurse: 1
Speech Language Pathologist: 2
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Respiratory Therapy Technician: 4
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 0 | 19 | 5,396 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 13 | 0 | 13 | 5,226 | 91 | 100% | 10.1 |
| Registered Nurse | 5 | 0 | 5 | 1,886 | 89 | 98% | 10.7 |
| Licensed Practical Nurse | 3 | 1 | 4 | 714 | 75 | 82% | 8.5 |
| RN Director of Nursing | 1 | 0 | 1 | 532 | 60 | 66% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 483 | 62 | 68% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 464 | 62 | 68% | 7.5 |
| Dietitian | 1 | 0 | 1 | 355 | 53 | 58% | 6.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 178 | 47 | 52% | 3.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 175 | 28 | 31% | 6.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 90 | 23 | 25% | 3.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 63 | 44 | 48% | 1.4 |
| Qualified Social Worker | 0 | 1 | 1 | 41 | 30 | 33% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.2 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
40 residents
Residents by payment source
Medicare
2 residents (5%)
Medicaid
34 residents (85%)
Private pay or other
4 residents (10%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.6
14% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.9%
Percent of long-stay residents whose need for help with daily activities has increased
22.9%
22% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.4%
Percent of long-stay residents whose ability to move independently worsened
16.4%
17% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.5%
32% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
In line with Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
75% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
12% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
17.8%
Percent of long-stay residents who have depressive symptoms
17.8%
359% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.4%
Percent of long-stay residents who received an antipsychotic medication
19.4%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
12% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$23K
52% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$23K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 3, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 3, 2023
$23K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 3, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 3, 2023
8 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Granger Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
74.3%
↑ 3.6pp vs 2022
Net Income
-$369,710
↑ ~$770K vs 2022
Total Payroll
$4,433,559
↑ ~$651K vs 2022
Profit Margin
-4.3%
↑ 10.0pp vs 2022
Loading trend charts...
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