Ams Memorial-Greene

108 South High Street · Greene, IA · 50636 · 6418234531

31 certified beds For profit - Limited Liability company

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 27
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: not rated

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D February 21, 2022

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected March 22, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 21, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 13, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 22, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2022

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected March 22, 2022 · Quality of Life and Care

  • Potential for harm · D February 21, 2022

    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.

    Corrected March 22, 2022 · Quality of Life and Care

  • Potential for harm · F February 21, 2022

    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.

    Corrected March 22, 2022 · Nursing and Physician Services

  • Potential for harm · D February 21, 2022

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected April 13, 2022 · Pharmacy Service

  • Potential for harm · F February 21, 2022

    Report COVID19 data to residents and families.

    Corrected March 22, 2022 · Infection Control

  • Potential for harm · D March 5, 2020

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 27, 2020 · Resident Rights

  • Potential for harm · D March 5, 2020

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

    Corrected March 27, 2020 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 5, 2020

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

    Corrected March 27, 2020 · Quality of Life and Care

  • Potential for harm · E March 5, 2020

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected March 27, 2020 · Nutrition and Dietary

  • Potential for harm · E March 5, 2020

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 27, 2020 · Nutrition and Dietary

  • Potential for harm · D March 5, 2020

    Provide and implement an infection prevention and control program.

    Corrected March 27, 2020 · Infection Control

  • Potential for harm · D March 21, 2019

    Provide and implement an infection prevention and control program.

    Corrected March 22, 2019 · Infection Control

  • Potential for harm · D March 21, 2019

    Implement a program that monitors antibiotic use.

    Corrected March 22, 2019 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165356 · certified since November 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.