Greenfield Care Center of Fairfield
1260 Travis Blvd · Fairfield, CA · 94533 · 7074250669
90 certified beds For profit - Limited Liability company Chain: Eva Care Group
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $146,159 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$146,159 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.06 | 0.55–0.75 |
| Weekend hours / resident-day | 4.07 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 4 · $455,702 |
Inspection citations (78 in the current record)
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Potential for harm · E March 12, 2026
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.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D March 12, 2026
Ensure that residents are free from significant medication errors.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · E March 12, 2026
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.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · E March 12, 2026
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.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · D March 12, 2026
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · E March 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D January 7, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · D September 11, 2025
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 October 8, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 8, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 8, 2025 · Quality of Life and Care
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Potential for harm · E September 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 8, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 8, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
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.
Corrected October 8, 2025 · Pharmacy Service
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Potential for harm · D September 11, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 8, 2025 · Nutrition and Dietary
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Potential for harm · E September 11, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected October 8, 2025 · Nutrition and Dietary
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Potential for harm · E September 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 8, 2025 · Nutrition and Dietary
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Potential for harm · E September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 8, 2025 · Infection Control
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Potential for harm · D April 11, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 5, 2025 · Resident Rights
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Potential for harm · D April 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2025 · Quality of Life and Care
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Actual harm · H March 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 16, 2025 · Pharmacy Service
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Actual harm · H March 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · E March 13, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 16, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 18, 2026 | Fine | $16,575 |
| March 13, 2025 | Fine | $129,584 |
| March 13, 2025 | Payment Denial | 12 days |
| March 26, 2024 | Fine | $99,333 |
| August 11, 2023 | Fine | $210,210 |
| August 11, 2023 | Payment Denial | 25 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055189 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.