Occupancy rate
69%
In line with Iowa averageMix 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.
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Nursing Home
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
69.2%
Residents per day (avg)
55
Occupancy rate
69.2%
Residents per day (avg)
55
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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 community
Home revenue
$9.6M
Operating deficit
-$252.2K
Voluntary non-profit community
Home revenue
$9,554,652.00
Operating deficit
$-252,182.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
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.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.7M
78-bed community
A larger shared setting that may offer more common spaces and organized community services.
49 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
54 / 78
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
February 5, 1977
County:
Poweshiek
Additional licensing details
License number:
790736
CMS Certification Number:
165480
Certification type:
FALSE
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
Contact Information
Email:
[email protected]
Fax:
6412368035
Amenities & Lifestyle
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.
Inspection Report Summary for St Francis Manor
The most recent inspection on April 17, 2025 found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections showed a mixed record, with some deficiencies related primarily to resident care, including fall prevention and pressure ulcer interventions. A substantiated incident in July 2023 involved failure to implement care plan interventions to prevent a fall resulting in major injury. Complaint investigations were generally unsubstantiated or found the facility in substantial compliance, with no fines or enforcement actions listed in the available reports. The inspection history suggests improvement over time, with recent surveys showing compliance after earlier issues.
Health Inspection History
Inspections
Total health inspections
1
Iowa average 4.9
Last Health inspection on Jul 2023
Total health citations
1
Iowa average 21.7
Citations per inspection
1
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 1 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
1 moderate citation
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 13, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
St Francis Manor
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Grinnell
78
72.1%
-4%
5.32
+24%
0
1
0
55
St Francis Manor Inc
$8,5M
$4,3M
50.4%
165480
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near St Francis Manor
Grinnell, IA 501122064
Grinnell, IA 501122064
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
155
Employees
131
Contractors
24
Staff to resident ratio
2.77:1
39% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
40
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
26,513
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
74
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.9%
1,286 contractor hours this quarter
Certified Nursing Assistant: 6
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Speech Language Pathologist: 2
Occupational Therapy Assistant: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 68 | 6 | 74 | 11,999 | 91 | 100% | 7.4 |
| Registered Nurse | 23 | 0 | 23 | 4,767 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,758 | 90 | 99% | 8.1 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,343 | 87 | 96% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 956 | 63 | 69% | 7.7 |
| Other Dietary Services Staff | 6 | 0 | 6 | 837 | 67 | 74% | 7.1 |
| Nurse Aide in Training | 8 | 0 | 8 | 637 | 68 | 75% | 6.4 |
| Speech Language Pathologist | 1 | 2 | 3 | 554 | 84 | 92% | 5.7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 53 | 58% | 8.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 222 | 53 | 58% | 4.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 189 | 45 | 49% | 3.9 |
| Dietitian | 1 | 0 | 1 | 121 | 17 | 19% | 7.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 91 | 34 | 37% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 43 | 9 | 10% | 4.8 |
| Medical Director | 0 | 1 | 1 | 35 | 24 | 26% | 1.5 |
| Qualified Social Worker | 0 | 2 | 2 | 28 | 21 | 23% | 1.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 18 | 4 | 4% | 4.4 |
74 Certified Nursing Assistant
% of Days
100%
23 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
99%
10 Medication Aide/Technician
% of Days
96%
3 Clinical Nurse Specialist
% of Days
69%
6 Other Dietary Services Staff
% of Days
74%
8 Nurse Aide in Training
% of Days
75%
3 Speech Language Pathologist
% of Days
92%
1 Administrator
% of Days
66%
1 Nurse Practitioner
% of Days
58%
3 Physical Therapy Aide
% of Days
58%
4 Respiratory Therapy Technician
% of Days
49%
1 Dietitian
% of Days
19%
3 Physical Therapy Assistant
% of Days
37%
1 Occupational Therapy Aide
% of Days
10%
1 Medical Director
% of Days
26%
2 Qualified Social Worker
% of Days
23%
2 Occupational Therapy Assistant
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
56 residents
Residents by payment source
Medicare
4 residents (7.1%)
Medicaid
17 residents (30.4%)
Private pay or other
35 residents (62.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
18% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
6% better 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
17.8%
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
6% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.1%
Percent of long-stay residents whose ability to move independently worsened
20.1%
In line with 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
23.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
12% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
86% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
69% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
7.6%
Percent of long-stay residents with a urinary tract infection
7.6%
207% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.4%
Percent of long-stay residents who lose too much weight
2.4%
52% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.6%
Percent of long-stay residents who have depressive symptoms
4.6%
17% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.8%
Percent of long-stay residents who received an antipsychotic medication
19.8%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% 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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
28% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for St Francis Manor based on CMS SNF Cost Reports.
Occupancy Rate
72.1%
↑ 3.8pp vs 2022
Net Income
-$252,182
↑ ~$487K vs 2022
Total Payroll
$5,904,091
↑ ~$587K vs 2022
Profit Margin
-3.0%
↑ 7.2pp vs 2022
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