01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-29 | 3 | 2025-05-29 | 4 |
| Cycle 2 | 2024-07-11 | 3 | 2024-07-11 | 4 |
| Cycle 3 | 2023-05-11 | 0 | 2023-05-11 | 3 |
CMS CCN 1654812026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mayflower Home
616 Broad Street · Grinnell, IA 50112 · Poweshiek County
Certified beds40CMS provider file
Recent citation rows17current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
17 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2025-05-29 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-06-162025-05-29 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-162025-05-29 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-05-29 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-05-29 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-05-29 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-06-062024-07-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-11 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-11 · HEALTHF0727Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-07-11 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-07-152024-07-11 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-07-152024-07-11 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-07-222024-07-11 · FIREK0927Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Correction field: Deficient, Provider has date of correction · 2024-07-262023-05-11 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2023-05-192023-05-11 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-05-192023-05-11 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-05-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MAYFLOWER HOMES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/01/1993
- CARLSON, PAIGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- DILLON, JESSICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2020
- FAIRCHILD, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2024
- JEPSEN, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2020
- MAHAFFEY, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2024
- MARSHO, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2024
- MUTTI, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2020
- RAMSEY, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/08/2020
- DILLON, JESSICAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/13/2020
- JEPSEN, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/26/2022
- MCGRIFF, KELLIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/18/2018
- MUTTI, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/08/2022
- RAMSEY, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/13/2020
- VOSBURG, PAMELAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/07/2009
- MAYFLOWER HOMES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/1993
- GRUHN, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/14/2000
- HEINEMAN, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/06/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.65per resident day
RN hours1.18per resident day
Weekend nurse hours4.20per resident day
Staff turnover40.5%CMS reported field
06 / LOCAL RECORDS
Open the Grinnell ledger →