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.

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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.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 70
Staffing 20% 87
Federal penalties 15% 0
Trend 10% 92
Context 5% 0

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-day4.443.48 min · 4.1 strong
RN hours / resident-day1.060.55–0.75
Weekend hours / resident-day4.07≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)4 · $455,702

Inspection citations (78 in the current record)

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D March 12, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 31, 2026 · Pharmacy Service

  • 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

  • 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

  • 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

  • Potential for harm · E March 12, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 31, 2026 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E September 11, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 8, 2025 · Pharmacy Service

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E September 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 8, 2025 · Infection Control

  • 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

  • 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

  • Actual harm · H March 13, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 16, 2025 · Pharmacy Service

  • 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

  • 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

DateTypeAmount / length
February 18, 2026Fine$16,575
March 13, 2025Fine$129,584
March 13, 2025Payment Denial12 days
March 26, 2024Fine$99,333
August 11, 2023Fine$210,210
August 11, 2023Payment Denial25 days

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 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.