Granger Nursing & Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 67 beds and averages 50.4 residents a day — about 75% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.44 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.84 hrs/resident/day on weekends vs 3.31 on weekdays — 14% thinner on weekends. RN hours go from 0.60 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 97% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2026-02-26 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, resident interviews, staff interviews and facility policy review, the facility failed to provide services and treatment to increase range of motion and to prevent further decrease in range of motion for 2 of 2 residents reviewed for limited range of motion (Resident #40 and Resident #44). The facility reported a census of 52 residents. Findings include: 1. The Minimum Data Set, dated [DATE] documented Resident #40 had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident had diagnoses to include stroke and hemiplegia (a form of paralysis affecting one side of the body) affecting the left side. The MDS indicated a functional limitation in range of motion in the look back period with an impairment on one side in both the upper extremity (shoulder, elbow, wrist, hand) and lower extremity (hip, knee, ankle, foot). The Care Plan for Resident #40, with a revision date of 8/27/24, included a problem area of resident had a history…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, pharmacy record review, staff interviews, and facility policy review the facility failed to ensure accurate control and accountability of scheduled controlled narcotic medication for 1 (Resident # 34) of 3 residents reviewed. The facility reported a census of 52 residents. Findings include:The Minimum Data Set (MDS) for Resident #34, dated 11/28/25, documented diagnoses of Diabetes, depression, and primary insomnia (inability to fall or stay asleep). The MDS documented a Brief Interview of Mental Status score of 15, indicating no cognitive impairment, and the resident received a hypnotic medication. Resident #34's Medication Administration Record (MAR), dated 12/1/25 - 12/31/25, revealed a physician's order for Ambien (hypnotic medication) 5 milligrams (mg) 1 tablet at bedtime for insomnia. The MAR revealed the medication was administered 12/1/25 and 12/7/25 - 12/29/25 and the medication was not administered 12/2/25-12/6/25 and 12/30/25-12/31/25, due to the resident in the hospital. Resident #34's MAR, dated 1/1/26 - 1/31/26, revealed a physician's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, pharmacy recommendation, and policy review the facility failed to store and label medications properly in 1 of 2 medication carts reviewed. The facility reported a census of 52 residents. Findings include:Observation on [DATE] at 10:30 AM with Staff C, Registered Nurse (RN) in attendance, in the 100/200 hall medication cart:a. a bottle of Latanoprost eye drops (prescription medication for dry eye syndrome) for Resident #35 with the following labels: needs refrigerated, open date [DATE], and expires 42 days after open with no expired date written in. b. 4 bottles of prescribed eye drops not labeled with open date. c. 9 prescribed inhalers not labeled with open date.Interview on [DATE] at 10:35 AM, Staff C acknowledged the Latanoprost was a medication administered at bedtime which should be refrigerated and she did not know how long eye drops and inhalers were good for after opened, she would have to check. Resident #35's Medication Administration Record dated [DATE] -…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, staff interviews, and policy review the facility failed to maintain infection control practices to ensure use of Enhanced Barrier Precautions (EBP) when required and to perform hand hygiene and infection control practices during wound care for 1 (Resident #4) of 2 residents reviewed. The facility reported a census of 52 resident. Findings include:The Minimum Data Set (MDS) for Resident #4, dated 2/6/26, includes diagnoses of peripheral vascular disease (PVD) (narrowing of blood vessels usually affecting the legs and feet) and 1 venous ulcer (wound caused by decreased blood flow). The Care Plan with initiated date 8/8/25, revealed the resident required EBP related to the presence of PVD wound to left lower leg with EBP to be instituted during completion of high contact activities. Observation on 2/23/26 at 3:07 PM, Staff A, Registered Nurse entered Resident #4's room and placed the wound treatment supplies directly on the resident's bed. Staff A applied gloves, did not apply a gown, removed the resident's left sock and leg dressing, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-09 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on facility records and staff interviews, the facility failed to have a clinically qualified nutrition professional who met the required qualifications of a Certified Dietary Manager or a full time Registered Dietician. Findings Include: On 1/8/2025 at 1:46 PM, the Dietary Manager stated she did not have certification as a dietary manager. She stated she had completed courses to obtain certification, but the classes would not officially finish until 1/15/2025. An email provided by the Registered Dietician on 1/8/2025 at 2:53 PM stated she was only physically in the building one day a week. In an interview on 1/8/2025 at 2:42 PM with The Administrator, he stated the Registered Dietician is in the building one day a week. A review of facility records indicated the Dietary Manager did not hold any certifications in food safety, had not yet taken the test to be a Certified Dietary Manager, and had not been in the role of a Dietary Manager for two years or more.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-09 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews, and facility document review, the facility failed to maintain a clean environment free of hazards. The facility reported a census of 40 residents. Findings include: 1. A direct observation on 1/6/2025 at 9:58 AM of the 300 hallway revealed a baseboard heater with a bent/broken safety grate. The grate was bent in such a way that it allowed the surveyor to access the interior of the grate easily with his hand. 2. A direct observation on 1/6/2025 at 10:14 AM revealed that Resident #14's room baseboard heater cover was bent and ineffective at preventing someone from accessing the interior of the heating unit. Resident #14 commented on how it looked trashy. 3. In an interview and direct observation on 1/6/2025 at 1:07 PM with Resident #13, she stated she was unhappy with her room. When asked what she was unhappy about, the resident pointed out the state of the baseboard heater, which had a bent safety grate and appeared to be improperly secured to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and policy review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility reported a census of 40 residents. Findings include: During a direct observation on 1/6/2025 at 12:16 PM the Dietary Manager opened a package of crackers with ungloved hands. She made direct contact with the crackers before giving them to the resident. During a direct observation on 1/6/2025 at 12:18 PM the Dietary Manager served a plate of food to a resident and held the plate by the top with her thumbs. She made direct contact with ungloved hands with what appeared to be French fried potatoes on the plate. Hand hygiene was not performed after having assisted the previous resident. In a direct observation on 1/8/2025 at 12:21 PM, Staff G, Certified Nurse Aide (CNA), was seen touching the interior of a divided plate with bare hands while serving food to a resident. In a direct observation on 1/8/2025 at 12:22 PM and lasting until 12:25 PM, Staff H, Certified Medication Aide (CMA), was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, staff interview, and facility documentation, the facility failed to speak to residents with dignity and respect for 3 of 3 residents reviewed (Resident #12, #13, and #14). The facility reported a census of 40 residents. Findings include: 1. The quarterly Minimum Data Set (MDS) for Resident #12, dated 12/12/2024, documented a brief interview for mental status (BIMS) score of 15, indicating intact cognition. A prior MDS dated [DATE] documented Resident #12 was dependent on staff members for toileting hygiene and required substantial assistance for bed mobility, transfers, and personal hygiene. It further documented her to be continent of bowel. In an interview on 1/9/2025 at 11:14 AM with Resident #12, she stated a staff member identified as Staff A, Certified Nurse's Aide (CNA), who worked night shift had a pattern of rude and unkind behavior. She stated Staff A often made her feel like she is a burden, asking her what she needs in an unkind tone and manner that makes her feel like he…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-09 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interview, and instructions of CMS form 10123-NOMNC, the facility failed to provide appropriate Notice of Medicare Non Coverage (NOMNC) to 2 of 3 (Resident #7 and #142) residents reviewed for Beneficiary Notification. The facility reported a census of 40 residents. Findings include: 1. The census portion of the Electronic Health Record (EHR) of Resident #7 revealed the resident began receiving skilled care under Medicare A payer source on 8/5/24 and Medicare continued to pay for her stay through 8/23/24. The facility was unable to provide documentation of Resident #13 receiving a Notice of Medicare Non Coverage (NOMNC) form. The facility did provide a copy of the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN). The SNF Beneficiary Protection Notification Review form documented the resident did not receive a NOMNC due to the resident telling therapy she was done and refused further therapy. 2. The census portion of the EHR of Resident #142 revealed the resident began receiving skilled care under Medicare A payer…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-09 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and facility policy review, the facility failed to revise the comprehensive Care Plan to accurately reflect the status of 2 of 16 (Resident #24 and #32) residents reviewed. The facility reported a census of 40. 1. The Minimum Data Set (MDS), dated [DATE], of Resident #24 identified a Brief Interview of Mental Status (BIMS) score of 15 which indicated cognition intact. The MDS documented diagnoses that included depression, bipolar disorder, schizophrenia and nicotine dependence. The MDS documented a presence of an open foot lesion to her foot. The Wound Treatment Plan, dated 12/19/24, documented Resident #24 was to wear a walking boot on her right foot and a Controlled Ankle Motion (CAM) boot on her left foot (a medical device used to immobilize the foot and ankle). On 1/7/25 at 1:37 pm, Resident #24 was observed standing at the end of the hallway of the 200 hall, waiting to go outside to smoke. She was wearing a coat, a hat and gloves. She was wearing gripper…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CAMPBELL STREET SERVICES — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $517K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA