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Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Mayflower Home

Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Mayflower Home

Grinnell, IA 501122298 View map
Overview of Mayflower Home
Mayflower Home is a senior living community located in Grinnell, Iowa. It offers a variety of living options including independent living and assisted living, catering to individuals aged 55 and older. The community provides a range of health services and activities to support residents' needs.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5
Iowa average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Iowa average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Iowa average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 2m per day

This home provides 14% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 40

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 77.5%
Residents per day (avg) 30
Occupancy rate
77.5%
Residents per day (avg)
30

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 11 years

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 9 - 10 years

Finances and operations

Voluntary non-profit community
Home revenue
$8.4M
Operating deficit
-$187.3K
Voluntary non-profit community
Home revenue
$8,377,016.00
Operating deficit
$-187,275.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
49.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
Total costs $8.6M
Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
78%
In line with Iowa average
Occupied beds
31 / 40
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
County: Poweshiek

Additional licensing details

License number: 790277
CMS Certification Number: 165481
Certification type: FALSE

Ownership & operating entity

Mayflower Home is administrated by Kellie McGriff.

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Independent Living
Licensed Nurses/CNAs

All Levels of Care

Independent Living
Assisted Living
Health Services

Contact Information

Fax: 6412366154

Additional Policies & Features

Minimum Age: 55

Programs & Activities

Specific Programs
Independent Living, Assisted Living, Health Services, Rehab Care, Activities, Menus, Residents Association, Mini Gift Shop
Contact Mayflower Home

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

11 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date November 17, 2025

6 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Mayflower Home

The most recent inspection, a complaint investigation completed on November 17, 2025, found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed record, with prior annual surveys identifying deficiencies related to following physician’s orders for pressure ulcers, bowel management, medication administration, resident rights, and respiratory care documentation. Complaint investigations in October and November 2025 were unsubstantiated, and enforcement actions such as fines or license suspensions were not listed in the available reports. The main themes of deficiencies involved documentation and adherence to care protocols, including medication and respiratory treatments. The facility’s recent clean complaint investigations suggest some improvement following earlier citations.

Health Inspection History

Inspections
Total health inspections 2

Iowa average 4.9


Last Health inspection on May 2025

Total health citations 5

Iowa average 21.7

Citations per inspection
2.5

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 5 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

5 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 29, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. May 29, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jul 11, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 11, 2024
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
Akron Care Center, INC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Akron
45
98.1%
+30%
4.71
+15%
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Mayflower Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Grinnell
213
83.7%
+11%
5.04
+50%
+17%
0
5
2.5
0
30
Mayflower Homes Inc
$6.6M
$4.2M
63.1%
165481
Accura HealthCare of Carlisle
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carlisle
46
80.5%
+7%
5.85
-40%
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spirit Lake
85
66.6%
-12%
4.29
-8%
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lake City
46
70.4%
-7%
5.17
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082

Places of interest near Mayflower Home

Address Grinnell, IA 501122298

Address Grinnell, IA 501122298

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 86
Employees 57
Contractors 29
Staff to resident ratio 2.77:1
39% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 26
Average shift 7 hours
5% worse than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 16,459
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

8%

1,320 contractor hours this quarter

Registered Nurse: 7 Certified Nursing Assistant: 6 Respiratory Therapy Technician: 5 Physical Therapy Aide: 2 Qualified Social Worker: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Occupational Therapy Assistant: 1 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant266326,77091100%6.9
Registered Nurse87152,35091100%7.3
Medication Aide/Technician7071,4987684%7.6
Licensed Practical Nurse5161,3338998%7.4
Other Dietary Services Staff4049376470%7
Administrator1015046369%8
Mental Health Service Worker1014726369%7.5
Nurse Practitioner1014666167%7.6
Dietitian1014485662%8
RN Director of Nursing1014355662%7.8
Physical Therapy Aide0223586470%5.6
Clinical Nurse Specialist2023093741%7.2
Speech Language Pathologist0223057886%3.9
Respiratory Therapy Technician0551574549%3.3
Physical Therapy Assistant022603235%1.9
Qualified Social Worker022282224%1.3
Occupational Therapy Aide0112055%4
Occupational Therapy Assistant0111167%1.8
32 Certified Nursing Assistant
% of Days 100%
15 Registered Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 84%
6 Licensed Practical Nurse
% of Days 98%
4 Other Dietary Services Staff
% of Days 70%
1 Administrator
% of Days 69%
1 Mental Health Service Worker
% of Days 69%
1 Nurse Practitioner
% of Days 67%
1 Dietitian
% of Days 62%
1 RN Director of Nursing
% of Days 62%
2 Physical Therapy Aide
% of Days 70%
2 Clinical Nurse Specialist
% of Days 41%
2 Speech Language Pathologist
% of Days 86%
5 Respiratory Therapy Technician
% of Days 49%
2 Physical Therapy Assistant
% of Days 35%
2 Qualified Social Worker
% of Days 24%
1 Occupational Therapy Aide
% of Days 5%
1 Occupational Therapy Assistant
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
31 residents
Residents by payment source
Medicare
3 residents (9.7%)
Medicaid
9 residents (29%)
Private pay or other
19 residents (61.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.8
45% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.3
40% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.0%
60% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.4%
50% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.4%
20% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.9%
46% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
50% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.2%
23% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.1%
20% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.7%
54% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.9%
In line with Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.9%
24% better than Iowa average

Iowa average: 73.3%

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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