Federal inspection record · CMS data as of October 1, 2026
Granger Nursing & Rehabilitation Center
2001 Kennedy Street, Granger, IA · (515) 999-2588
- Certified beds
- 67
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- Campbell Street Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Granger Nursing & Rehabilitation Center carries 28 inspection points. That is fewer than 56% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights7E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care3D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-02-26
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-01-09
7 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-02-15
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 16 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 100% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 98.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 2.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.5 pts worse | 16.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 3.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts worse | 26.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts worse | 28.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts better | 9.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 17.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.5% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 28.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts worse | 80.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 2001 Kennedy Street Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Campbell Street Services LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Conner, Robert | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Conner, Robert | Adp Of The SNF · Individual | 0% | 13 facilities |
| Dole, Isaac | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Dole, Isaac | Adp Of The SNF · Individual | 0% | 27 facilities |
| Dunlap, Jason | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dunlap, Jason | Adp Of The SNF · Individual | 0% | 1 facilities |
| Holdco Goldfinch, LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Holdco Goldfinch, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Managerco Goldfinch, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Managerco Goldfinch, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Welltower Nnn Group, LLC | Adp Of The SNF · Organization | 0% | 121 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems10F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use and maintenance of medical gas equipment.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous5F
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Services3D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Construction2D
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
Egress1D
- D
Have properly located and lighted "Exit" signs.
·
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