St Francis Manor

Nursing Home, Assisted Living, Hospice Care & Skilled Nursing · Grinnell, IA

CMS overall rating

2021 Fourth Avenue, Grinnell, Ia 501122064 View map

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St Francis Manor accepts Medicare, Medicaid, and private pay.

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St Francis Manor accepts Medicare, Medicaid, and private pay.

Overview of St Francis Manor

Located in a highly walkable neighborhood, St Francis Manor is a skilled nursing home with a strong focus on rehabilitation services. The 78-bed facility has been serving the community for 49 years. Medicare, Medicaid, and private pay give families several options for arranging care.

Rehabilitation is a central part of the facility’s care model. St Francis Manor operates an on-site Rehabilitation Clinic and provides hospital-to-home skilled nursing and rehabilitation services. Residents recovering from surgery, illness, and other acute health events can transition directly into structured care within the community. Physical therapy, occupational therapy, and speech therapy support a wide range of rehabilitation needs. Residents who require ongoing support are provided with long-term nursing care and restorative services.

Daily nurse staffing averages 5 hours and 19 minutes per resident. Registered nurses provide approximately 1 hour and 15 minutes of care each day. They are supported by nurse aides and licensed nurses. This level of staffing provides consistent clinical oversight and hands-on assistance throughout the day.

Wellness and activity are important parts of residents’ daily lives. There’s an on-site S.H.A.P.E. Fitness program, along with a walking track, exercise equipment, and fitness classes for residents who want to maintain strength and mobility. St Francis Manor also has a home healthcare service, so residents can continue receiving care in a setting they are familiar with.

The facility currently has 54 residents living in 78 beds, resulting in an occupancy rate of 69%. State inspections show that the facility has been working to maintain compliance. The most recent review found no health deficiencies. Families considering St Francis Manor should take a tour and explore the therapy areas, fitness amenities, and daily care environment.

Facility Direct Line (641) 236-7592

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

5h 19m per day

vs avg

1 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +70% 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.	1h 15m per day	▲ 70% 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.	32m per day	▼ 6% 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.	4h 0m per day	▲ 20% 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.	2m per day	▲ 22% 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.	39m per day	▲ 30% State avg: 30m per day · National avg: 28m per day

Capacity and availability

172 days

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.

Walk Score: 82 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

69%

Lower than the Iowa average: 75.4%

Occupied beds

54 / 78

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceFebruary 5, 1977

ExpirationFebruary 2, 2027

CountyPoweshiek

License Number790736

CMS Certification Number165480

Certification TypeFALSE

St Francis Manor is administered by Dion Schrack.

Rehabilitation Services

Email dschrack@stfrancismanor.com

Fax6412368035

Pets not allowed

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

Since 2020 · 6 years of data 5 deficiencies 10 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 April 17, 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.	5	27	This facility has 81% fewer total deficiencies than a typical Iowa assisted living residence (5 vs. IA avg 27).↓ 81% better
Deficiencies per year Average deficiencies per year since 2020.	0.8	4.5	This facility has 82% fewer deficiencies per year than a typical Iowa assisted living residence (0.8 vs. IA avg 4.5).↓ 82% better
Deficiencies per inspection Average deficiencies per inspection.	0.5	1.8	This facility has 72% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.5 vs. IA avg 1.8).↓ 72% better

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.	10	15	This facility has had 33% fewer total inspections than the Iowa average (10 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer

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

The most recent inspection on April 17, 2025 found no health deficiencies and the facility was in substantial compliance with all regulations.
A July 13, 2023 complaint investigation substantiated a failure to implement fall prevention care plan interventions, resulting in a resident’s fall with a right femoral neck fracture requiring surgery.
Multiple complaint investigations in 2024 found the facility in substantial compliance with no substantiated complaints or deficiencies related to care or safety.

Show Inspection Reports

Inspections since 2023

Total health inspections 1

State average N/A

Last Health inspection on Jul 2023

Total health citations

State average N/A

Citations per inspection

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

1 moderate citation State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation Jul 13, 2023

Corrected

Total staff 160

Employees 125

Contractors 35

Staff to resident ratio 2.86 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 42

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,012

Nursing staff breakdown

7.5 hours

9.1 hours

6.9 hours

Contractor staffing

1,541 contractor hours this quarter

Certified Nursing Assistant: 21 Respiratory Therapy Technician: 4 Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Qualified Social Worker: 1 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	61	21	82	12,121	92	100%	6.9
Registered Nurse	25	0	25	5,300	92	100%	7.5
Licensed Practical Nurse	6	0	6	2,837	92	100%	9.1
Medication Aide/Technician	11	0	11	1,798	87	95%	6.2
Nurse Aide in Training	12	0	12	972	77	84%	5.9
Clinical Nurse Specialist	3	0	3	914	62	67%	7.6
Other Dietary Services Staff	3	0	3	480	60	65%	7.5
Dietitian	1	0	1	466	60	65%	7.8
Administrator	1	0	1	456	57	62%	8
Nurse Practitioner	1	0	1	436	55	60%	7.9
Speech Language Pathologist	1	1	2	429	64	70%	6.6
Physical Therapy Aide	0	2	2	294	57	62%	5.2
Respiratory Therapy Technician	0	4	4	218	61	66%	3.2
Physical Therapy Assistant	0	3	3	128	42	46%	3.1
Occupational Therapy Aide	0	1	1	69	13	14%	5.3
Qualified Social Worker	0	1	1	44	30	33%	1.5
Medical Director	0	1	1	34	21	23%	1.6
Occupational Therapy Assistant	0	1	1	16	3	3%	5.2

82 Certified Nursing Assistant

% of Days 100%

25 Registered Nurse

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

11 Medication Aide/Technician

% of Days 95%

12 Nurse Aide in Training

% of Days 84%

3 Clinical Nurse Specialist

% of Days 67%

3 Other Dietary Services Staff

% of Days 65%

1 Dietitian

% of Days 65%

1 Administrator

% of Days 62%

1 Nurse Practitioner

% of Days 60%

2 Speech Language Pathologist

% of Days 70%

2 Physical Therapy Aide

% of Days 62%

4 Respiratory Therapy Technician

% of Days 66%

3 Physical Therapy Assistant

% of Days 46%

1 Occupational Therapy Aide

% of Days 14%

1 Qualified Social Worker

% of Days 33%

1 Medical Director

% of Days 23%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

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 8.4

18% better than State average

State average: 10.2

Functional decline score 20.3

6% better than State average

State average: 21.6

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 17.8%

6% better than State average

State average: 18.8%

Walking Ability Worsened 20.1%

In line with State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 23.0%

12% better than State average

State average: 26.2%

Falls with Major Injury 0.5%

86% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 1.3%

69% better than State average

State average: 4.4%

Urinary Tract Infection 7.6%

207% worse than State average

State average: 2.5%

Lost Too Much Weight 2.4%

52% better than State average

State average: 5.0%

Depressive Symptoms 4.6%

17% worse than State average

State average: 3.9%

Antipsychotic Use 19.8%

In line with State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% 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 0.27

82% better than State average

State average: 1.48

ED visits per 1,000 days 1.35

35% better than State average

State average: 2.09

Short-stay resident measures

Significantly above average State avg: 2.6

Pneumococcal Vaccine 100.0%

18% better than State average

State average: 85.1%

Antipsychotic medication increase 1.3%

28% better than State average

State average: 1.8%

Influenza Vaccine 100.0%

36% better than State average

State average: 73.3%

Re-hospitalized after SNF stay 9.0%

58% better than State average

State average: 21.3%

Emergency department visits 5.5%

58% better than State average

State average: 13.1%

Falls with major injury 1.6%

109% worse than State average

State average: 0.8%

Ability to care for self at discharge 38.6%

28% worse than State average

State average: 53.7%

Successful return to home or community 54.7%

8% better than State average

State average: 50.6%

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

Total residents 56

Medicare

7.1% of residents

Medicaid

30.4% of residents

Private pay or other

62.5% of residents

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.

Financial Trends

Historical financial and operational data for St Francis Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 72.1% ↑ 3.8pp vs 2022

Net Patient Income -$1.2M ↑ ~$466.8K vs 2022

Payroll Costs $5.0M ↑ ~$402.3K vs 2022

Operating Margin -16.9% ↑ 10.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	94.8%	84.8%	79.8%	78.4%	84.2%	80.7%	74.5%	75.5%	72.6%	64.6%	58.9%	68.3%	72.1%
Beds	78	78	78	78	78	78	78	78	78	78	78	78	78
Net Income	$533,600	$365,149	$18,983	-$171,413	-$50,670	-$385,157	-$623,992	-$487,622	-$212,961	-$478,331	$606,072	-$739,453	-$252,182
Gross Revenue	$5,240,155	$5,178,936	$5,710,524	$6,557,713	$7,273,442	$6,745,601	$6,521,293	$6,924,929	$7,337,047	$6,466,623	$6,640,258	$7,296,692	$8,482,887
Operating Expenses	$5,486,712	$5,548,007	$5,866,481	$6,235,154	$6,692,094	$6,838,621	$6,908,801	$7,019,717	$7,101,572	$6,932,008	$7,115,748	$7,831,903	$8,490,448
Net Patient Income	-$481,701	-$766,334	-$898,602	-$909,984	-$815,512	-$1,204,520	-$1,515,891	-$1,323,563	-$1,094,824	-$1,587,260	-$1,766,197	-$1,693,679	-$1,226,849
Net Patient Revenue	$5,005,011	$4,781,673	$4,967,879	$5,325,170	$5,876,582	$5,634,101	$5,392,910	$5,696,154	$6,006,748	$5,344,748	$5,349,551	$6,138,224	$7,263,599
Payroll Costs	$3,792,304	$3,543,353	$3,527,059	$3,600,515	$3,917,500	$4,062,484	$4,193,016	$4,195,864	$4,090,835	$4,065,467	$3,995,981	$4,636,309	$5,038,639
Operating Margin %	-9.6%	-16.0%	-18.1%	-17.1%	-13.9%	-21.4%	-28.1%	-23.2%	-18.2%	-29.7%	-33.0%	-27.6%	-16.9%
Medicare %	3.7%	5.4%	7.4%	9.5%	11.1%	8.1%	10.0%	11.2%	14.5%	9.7%	11.1%	8.8%	10.2%
Medicaid %	44.4%	44.0%	42.8%	38.7%	38.3%	45.6%	46.8%	43.8%	45.4%	50.5%	45.2%	36.0%	35.3%
Private %	51.9%	50.6%	49.8%	51.8%	50.6%	46.3%	43.2%	45.0%	40.0%	39.8%	43.6%	55.2%	54.5%
Net Patient Revenue/Day	$185	$198	$219	$239	$245	$245	$254	$265	$291	$290	$319	$316	$354
Cost/Day	$203	$229	$258	$279	$279	$297	$326	$327	$344	$376	$424	$403	$414
Avg Length of Stay	207.7 days	148.5 days	154.6 days	125.4 days	141.0 days	122.5 days	108.8 days	112.5 days	93.5 days	144.1 days	120.6 days	181.8 days	172.4 days

Finances and operations

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

Net patient revenue

$7.3M

Net patient income

-$1.2M

Nonprofit Nonprofit Corporation

Net patient revenue

$7.3M

Net patient income

-$1.2M

Other income

$1.1M

Payroll costs

$5.0M 69.4% of net patient revenue

Other operating costs

$3.5M

Total costs

$8.5M

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.

New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 41%

Private pay 47%

Medicaid 12%

Coverage residents most often leave under.

Medicare 28%

Private pay 56%

Medicaid 16%

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


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
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Nursing Home Explorer

Is St Francis Manor in a walkable area?

St Francis Manor has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of St Francis Manor?

According to IA state health department records, St Francis Manor's license number is 790736.

When does St Francis Manor's license expire?

According to IA state health department records, St Francis Manor's license expires on February 2, 2027.

What is the occupancy rate at St Francis Manor?

St Francis Manor's occupancy is 69%.

Are pets allowed at St Francis Manor?

No, St Francis Manor has a no-pet policy.

What is the best email address for St Francis Manor?

The team at St Francis Manor can be reached at dschrack@stfrancismanor.com.

Does St Francis Manor operate as a for-profit or non-profit?

St Francis Manor is registered as a non-profit in IA.

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St Francis Manor

Overview of St Francis Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact St Francis Manor

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

82 Certified Nursing Assistant

25 Registered Nurse

6 Licensed Practical Nurse

11 Medication Aide/Technician

12 Nurse Aide in Training

3 Clinical Nurse Specialist

3 Other Dietary Services Staff

1 Dietitian

1 Administrator

1 Nurse Practitioner

2 Speech Language Pathologist

2 Physical Therapy Aide

4 Respiratory Therapy Technician

3 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Qualified Social Worker

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

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

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near St Francis Manor

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