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Nursing HomeMedicaid Top Rated

St Francis Manor

Strong Medicare quality ratings; families often praise friendly, accommodating staff. Still worth an in-person visit.

2021 Fourth Avenue, Grinnell, IA 5011278 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 13 Google reviews

5
4
3
2
1
St Francis Manor Nursing Home in Grinnell, IA — Street View
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What this means for your family

St. Francis Manor and the Seeland Park community are highly recommended for their compassionate staff and well-maintained living environments. Families should feel confident in the facility's ability to provide personalized care, though they should clarify which specific medical services are included in their loved one's care plan.

Google Reviews

Google Reviews

13 reviews on Google
St. Francis Manor and the affiliated Seeland Park community are highly regarded for their friendly, accommodating staff and well-maintained residential environment. Families appreciate the compassionate care provided to residents, noting that the facility goes above and beyond to keep seniors active and comfortable. While the reviews are overwhelmingly positive, they primarily focus on the independent living and assisted living aspects of the campus rather than intensive nursing care.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean9.0Activities9.0Meds8.0MemoryN/AComms9.0ValueN/A

Strengths

  • Friendly, accommodating staff
  • Well-maintained residential facilities
  • Compassionate end-of-life and daily care
  • Active social community

Rating Trends

Tap a year to see what changed

2345.02017(2)5.02018(2)4.02019(1)5.02021(8)3.02026(2)

Distribution · 15 analyzed

5
13
4
1
3
0
2
0
1
1

How They Respond to Reviews

46%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given that St. Francis Manor maintains a 5-star staffing rating, how do you ensure that level of personalized attention remains consistent across all three shifts?
  • 2I noticed that you engage with families through online feedback; how do you use that input to shape the daily social activities and community events for residents?
  • 3With your facility having a very high rating for health inspections, could you walk us through your internal process for maintaining such high standards of care and cleanliness?
  • 4Since you have a capacity of 78 residents, how do you foster a close-knit community feel while ensuring that each individual’s specific care needs are met?
  • 5Regarding the four state violations noted in the last year, could you share what steps the team has taken to address those areas and prevent them from recurring?
  • 6How does your team coordinate with families during medical emergencies or transitions in care to ensure we feel supported and informed?

Personalized based on this facility's data


Key Review Excerpts

My Grandma Jeanette was a resident at St. Francis. I feel they went above and beyond to keep her active. She lived there for 3 years they made her very comfortable at the end as well. They also treated family with respect.

Long-term resident's family · 2021★★★★★

One of the great advantages of living in this community was the option to purchase extra services that fit their needs— for example, someone to help with showers and to set up meds. They had a call button that they could use if they needed someone from nursing services to pay a visit. They were always quick in responding and showed compassion.

Long-term resident's family · 2021★★★★★

We are so very pleased with the care our elderly mother is receiving at St. Francis. She enjoys being there, and she loves the staff. It's the next best thing to having her here with us.

Long-term resident's family · 2018★★★★★
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.24hrs
OK
Registered nurses for medical care
Total Nursing
4.56hrs
OK
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.8%
Better than Avg
Here
15.8%
US
19.4%
IA
25.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.5%
Mixed vs Avgs
Here
5.5%
US
12.1%
IA
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.5%
IA
19.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
19.5%
IA
20.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.4%
Worse than Avg
Here
19.4%
US
14.4%
IA
17.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
IA
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
IA
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (6.2)
2 complaint-triggered

St Francis Manor has a concerning pattern of recurring fire safety and maintenance issues, with deficiencies in sprinkler systems appearing in both 2023 and 2025 surveys, suggesting persistent problems with building safety systems. The facility also shows repeated issues with emergency preparedness and electrical systems maintenance. One family filed a complaint about accident hazards and supervision. While all deficiencies have correction dates, the recurring safety violations warrant careful consideration during visits.

Feb 11, 2026Complaint
1
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Apr 17, 2025Routine
3
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

Jun 6, 2024Routine
4
0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jul 13, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 13, 2023Routine
5
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
2deficiencies
May 14, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 31, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Feb 11, 2026Complaint
Clean

Fed violations: 1, State violations: 0

Apr 17, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jun 6, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Jan 31, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Sep 2, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Jul 13, 2023Inspection
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

St Francis Manor

Organization Type

nonprofit

Ownership & Management

Key personnel

Bryan, SamanthaOfficer / DirectorDowney, GaryOfficer / DirectorHonold, ToddOfficer / DirectorHorbach, LanceOfficer / DirectorThorndike, JamesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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