Show Inspection Reports
Total Health inspections
3
39% below Iowa average
Iowa average:
4.9
Last Health inspection on Jan 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Granger Nursing and Rehabilitation Center
Granger Nursing and Rehabilitation Center is a Nursing Home in Iowa
Granger Nursing and Rehabilitation… is a Nursing Home in Iowa
Granger Nursing and Rehabilitation Center
Granger Nursing and Rehabilitation Center is a Nursing Home in Iowa
Granger Nursing and Rehabilitation… is a Nursing Home in Iowa
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.
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
74.3%
Residents per day (avg)
47
Occupancy rate
74.3%
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
Proprietary home
Partnership
Home revenue
$8.5M
Operating loss
-$369.7K
Proprietary home
Partnership
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 Rate
60%
Occupied Beds
40 of 67
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
Additional licensing details
License number:
250039
CMS Certification Number:
165208
Certification type:
FALSE
County:
Dallas
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
Latest inspection
Date:November 24, 2025
50 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.
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
No
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
No
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
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
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
No
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
No
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
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:
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
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:
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
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:
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
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:
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
Pets Allowed:
No
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 |
Health Inspection History
Total Health citations
38
75% above Iowa average
Iowa average:
21.7
12.67 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
38 citations
Complaint investigations
21 citations
Breakdown of citations
Critical Health citations
1
67% above Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
37
Minor Health citations
0
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Part of: Community OpCo LLC
Resident Census by Payment Source
40
Total Residents
Medicare
2
(5%)
ⓘ
Medicaid
34
(85%)
ⓘ
Private Pay/Other
4
(10%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
10.0
Near Iowa average
Iowa average:
10.2
Functional decline score
24.6
14% worse than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
22.9%
22% above Iowa average.
Walking Ability Worsened
16.4%
17% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
34.5%
32% above Iowa average.
Safety & clinical stability
Falls with Major Injury
3.7%
3% above Iowa average.
High Risk Residents with Pressure Ulcers
2.4%
45% below Iowa average.
Urinary Tract Infection
0.6%
75% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
17.8%
359% above Iowa average.
Antipsychotic Use
19.4%
2% above Iowa average.
Preventive care
Pneumococcal Vaccine
98.8%
5% above Iowa average.
Influenza Vaccine
100.0%
5% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
4.4%
12% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
95.2%
12% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average 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
This home paid 52% less in fines than the state average.
Iowa average:
$48K
Number of Fines
1
This home received 41% fewer fines than the state average.
Iowa average:
1.7
Payment Denials
1
This home had 88% more payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Feb 3, 2023
$23K
Payment Denial
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
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