The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: D
Nursing home report
St Francis Manor
Grinnell, IA · Medicare-certified · 78 beds
In good standing
Non-profit
5 of 5 overall
St Francis Manor in Grinnell, IA has a 5 out of 5-star overall rating, with 5-star ratings for health inspections, staffing, and quality measures. Reported nurse staffing is 4.56 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.5599 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5599.
Staffing detail
- Registered nurses
- 1.24
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.79
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.2%12.8%Improving
Residents with a fall causing major injury
0%3.9%Worsening
Residents with pressure ulcers (bedsores)
1.9%3.6%Worsening
Residents with a urinary tract infection
5.7%4%Improving
Residents who lost too much weight
2.3%2.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.9%23.4%Worsening
Residents whose ability to walk got worse
26.2%15.2%Improving
Long-stay residents on antianxiety or sleep medication
15.6%14.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%3.7%Worsening
Residents with new or worsening incontinence
23.7%6.2%Improving
Residents with depressive symptoms
7.4%4.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 58.1 residents on an average day (74% of 78 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.