Grinnell, IA

St Francis Manor

5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle

2021 Fourth Avenue, Grinnell, IA

(641) 236-7592

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

55

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.29

Registered nurse staffing

LPN hours / resident day

0.47

Licensed practical nurse staffing

Aide hours / resident day

2.90

Nurse aide staffing

Weekend hours

4.07

Weekend nurse staffing

RN turnover

6%

Annual RN turnover

Total nurse turnover

39%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.3
1.5
1.2 pts better
1.9
1.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
2.1
0.7 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
3.7%
3.2 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.5%
4.0%
0.5 pts worse
11.4%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
4.9%
2 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.8%
20.6%
3.8 pts better
19.6%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.0%
19.8%
4.8 pts better
16.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.3%
18.5%
1.2 pts better
16.3%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.5%
18.3%
0.8 pts better
14.9%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
1.7%
0.1 pts better
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.4%
2.5%
3.9 pts worse
1.7%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.5%
26.0%
6.5 pts better
19.8%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.3%
4.3%
3 pts better
5.1%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
84.3%
15.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 5.5%
13.1%
7.6 pts better
12.0%
6.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
73.3%
26.7 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.0%
21.3%
12.3 pts better
23.9%
14.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-06 · Fire 2024-06-06

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-17

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-04-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-23

F · Potential for more than minimal harm 2024-06-06

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-06-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-17

E · Potential for more than minimal harm 2024-06-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-13

F · Potential for more than minimal harm 2023-07-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-07-27

F · Potential for more than minimal harm 2023-07-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-07-27

F · Potential for more than minimal harm 2023-07-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-27

F · Potential for more than minimal harm 2023-07-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-26

D · Potential for more than minimal harm 2023-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-07-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-13

Penalties and ownership

What sits behind the stars

Ownership

St Francis Manor Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1980-01-01
Brown, Kent

Corporate Director · Individual

0% 1 facilities 2016-10-01
Brown, Kent

Corporate Officer · Individual

0% 1 facilities 2020-10-02
Bryan, Samantha

Corporate Director · Individual

0% 1 facilities 2017-10-01
Conn, Frances

Corporate Director · Individual

0% 1 facilities 2015-10-01
Conn, Frances

Corporate Officer · Individual

0% 1 facilities 2018-10-01
Heineman, Brian

Contracted Managing Employee · Individual

0% 3 facilities 2010-12-01
Honold, Todd

Corporate Director · Individual

0% 1 facilities 2023-10-01
Mcfee, Lee

Corporate Director · Individual

0% 1 facilities 2020-10-22
Mcfee, Lee

Corporate Officer · Individual

0% 1 facilities 2021-10-01
Schrack, Dion

W-2 Managing Employee · Individual

0% 1 facilities 1982-01-01
Scurr, Connie

Corporate Director · Individual

0% 1 facilities 2019-10-30
Shebeck, Gary

Corporate Director · Individual

0% 1 facilities 2016-10-01
St Francis Manor Inc

Operational/Managerial Control · Organization

0% 1 facilities 1980-01-01
Thorndike, James

Corporate Director · Individual

0% 1 facilities 2017-12-28
Verploeg, Teryl

Corporate Director · Individual

0% 1 facilities 2022-01-27
Warnick, Lyndsey

Corporate Director · Individual

0% 1 facilities 2020-10-22

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