An adjustable floor drain apparatus includes a housing configured for positioning adjacent a drain pipe, manhole riser, or other feature, a leveling frame configured to be positioned at least partially above the housing, a grate configured to be positioned at least partially above the leveling frame and secured to the leveling frame, and a leveling member. The leveling member can be configured such that actuating the leveling member adjusts the position of the grate relative to the housing while the leveling member remains fixed relative to the housing. The leveling member can be configured such that actuating the leveling member moves the leveling member relative to the grate and adjusts the position of the grate relative to the housing.