Greenfield Rehabilitation & Health Care Center
615 Se Kent Street · Greenfield, IA · 50849 · 6417436131
46 certified beds For profit - Corporation
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $4,516 |
Inspection citations (20 in the current record)
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Potential for harm · D January 15, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 3, 2026 · Quality of Life and Care
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Actual harm · G July 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 1, 2025 · Resident Rights
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Potential for harm · E July 17, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Ensure each resident receives an accurate assessment.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Potential for harm · E August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 13, 2024 · Nutrition and Dietary
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Potential for harm · D August 29, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 13, 2024 · Infection Control
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Potential for harm · D June 20, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 11, 2023 · Resident Rights
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Potential for harm · D June 20, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · D June 20, 2023
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 July 11, 2023 · Nursing and Physician Services
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Potential for harm · D June 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 11, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 16, 2025 | Payment Denial | 6 days |
| January 30, 2024 | Fine | $4,516 |
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 165383 · certified since April 22, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.