St Francis Manor — nursing home in Grinnell, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 78 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 58.5 CMS, MDS-derived
CMS Certification Number: 165480
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 2003
Ownership type: Non profit - Corporation
Operator (legal business name): St Francis Manor Inc
CMS chain: Not part of a CMS-reported chain
Phone: (641) 236-7592
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 14, 2026

Citations

11

1 health · 10 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E3	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165480
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 78
First approved: Jan 1, 2003
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 14, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 14, 2026	Health	Health Standard	0	No citations	—	Open →
Feb 11, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 17, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 17, 2025	Health	Health Standard	0	No citations	—	Open →
Jun 6, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 6, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E3	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 14, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 20, 2026
May 14, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 20, 2026
May 14, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 21, 2026
Feb 11, 2026	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 4, 2026	Complaint
Apr 17, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 30, 2025
Apr 17, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 22, 2025
Apr 17, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2025
Jun 6, 2024	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 25, 2024
Jun 6, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 17, 2024
Jun 6, 2024	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 12, 2024
Jun 6, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 13, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.74

State avg 3.86US avg 3.90

Registered nurse (RN)1.06

State avg 0.74US avg 0.69

Licensed practical nurse0.45

State avg 0.56US avg 0.86

Nurse aide3.23

State avg 2.56US avg 2.35

Weekend total nurse4.01

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.41 (case-mix index 1.23).

Staff turnover

Total nursing staff turnover33.8%

State avg 44.1%US avg 45.3%

Registered nurse turnover11.1%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: May 14, 2026
Cycle 1 health score: 4
Total weighted score: 3

Operating entity

St Francis Manor Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

21

Organizations

4

Individuals

17

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Miranda Anderson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 16, 2018
Brian Heineman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2010
Craig Probasco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 31, 2022
Kory Probasco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 19, 2018
Dion Schrack	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 1982
Cynthia Strobel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 10, 2012
Samantha Bryan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2017
Gary Downey	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 31, 2024
Todd Honold	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2023
Lance Horbach	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 31, 2024
James Thorndike	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 28, 2017
Lyndsey Warnick	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 31, 2024
Kent Brown	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 31, 2024
Lee Mcfee	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 31, 2024
Teryl Verploeg	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 31, 2024
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Creative Planning Hold Co LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Global Reach Internet Productions LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2014
Key Rehabilitation Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2021
Brian Heineman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 13, 2026
Dion Schrack	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 13, 2026

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2021 Fourth Avenue, Grinnell, IA 50112
ZIP: 50112
County: Poweshiek County FIPS 19157
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Mayflower Home 616 Broad Street, Grinnell, IA 50112 CCN 165481	1.6 km	40		Jul 9, 2026	18	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165480	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165480	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165480

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction