ElderGrade
A

99/100

Excellent

St Francis Manor

2021 Fourth Avenue, Grinnell, IA 50112

CMS 5/5 stars #1 of 4 in Poweshiek County (641) 236-7592
Certified beds
78
Occupancy
75%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.66 total nurse hours per resident per day (national median 3.77)
  • 1.17 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 28% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.85 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.17 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.29 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 27.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 14, 2026 (3 months ago). That inspection produced no citations — the findings below are older.

D Feb 11, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Jul 13, 2023 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BRYAN, SAMANTHA Individual CORPORATE DIRECTOR
DOWNEY, GARY Individual CORPORATE DIRECTOR
HONOLD, TODD Individual CORPORATE DIRECTOR
HORBACH, LANCE Individual CORPORATE DIRECTOR
THORNDIKE, JAMES Individual CORPORATE DIRECTOR
WARNICK, LYNDSEY Individual CORPORATE DIRECTOR
BROWN, KENT Individual CORPORATE OFFICER
MCFEE, LEE Individual CORPORATE OFFICER
VERPLOEG, TERYL Individual CORPORATE OFFICER
ANDERSON, MIRANDA Individual OPERATIONAL/MANAGERIAL CONTROL
HEINEMAN, BRIAN Individual OPERATIONAL/MANAGERIAL CONTROL
PROBASCO, CRAIG Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about St Francis Manor

What is the ElderGrade for St Francis Manor? +

St Francis Manor holds an ElderGrade of A (99 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at St Francis Manor? +

Residents receive an average of 4.85 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has St Francis Manor been cited for harming residents? +

No. None of the 2 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does St Francis Manor accept Medicaid? +

Yes, St Francis Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.