Quick answers
- Where is St Francis Manor?
- 2021 Fourth Avenue, Grinnell, IA 50112, in Poweshiek County, Iowa.
- What is the phone number of St Francis Manor?
- (641) 236-7592, as listed by Medicare (CMS).
- What is the Medicare star rating of St Francis Manor?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has St Francis Manor been fined?
- Medicare lists no fines for St Francis Manor.
- What did inspectors find at St Francis Manor?
- In its last three inspection cycles (June 6, 2024 to May 14, 2026), Medicare lists 1 health citation; the most serious was level D. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 6, 2024 to May 14, 2026), St Francis Manor had 1 health citation; the most serious was level D (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.74 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 14, 2026 — 1 health citation
Inspections in this cycle: February 11, 2026 (complaint investigation); May 14, 2026 (standard health inspection).
Show 1 citation (levels A to F, no actual harm)
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
Previous cycle: April 17, 2025 — no health citations
Inspections in this cycle: April 17, 2025 (standard health inspection).
Earlier cycle: June 6, 2024 — no health citations
Inspections in this cycle: June 6, 2024 (standard health inspection).
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (10)
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.06 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.45 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 3.23 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 4.74 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.01 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.60 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 33.8% | 44.1% | 45.3% |
| RN turnover (per year) | 11.1% | 42.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 78 |
| Average residents per day | 58.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | St Francis Manor Inc |
| First approved by Medicare/Medicaid | 2003-01-01 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2021 Fourth Avenue, Grinnell, IA 50112 |
| County | Poweshiek County |
| State | Iowa |
| Phone | (641) 236‑7592 |
| CMS Certification Number | 165480 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Mayflower Home1.0 mi · Grinnell, IA · 5 of 5 stars
- Brooklyn Community Estates14 mi · Brooklyn, IA · 5 of 5 stars
- Montezuma Specialty Care14 mi · Montezuma, IA · 3 of 5 stars
- Accura Healthcare of Newton East, LLC17 mi · Newton, IA · 1 of 5 stars
- Sunny Hill Care Center17 mi · Tama, IA · 1 of 5 stars
Nearest hospital emergency rooms
- Grinnell Regional Medical Center1.5 mi · Grinnell, IA · Acute Care Hospital
- MercyOne Newton Medical Center18 mi · Newton, IA · Acute Care Hospital
- UnityPoint Health - Marshalltown23 mi · Marshalltown, IA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13