D

Greenfield Rehabilitation & Health Care Center

615 SE Kent Street, Greenfield, IA 50849
Score: 52 / 100

CMS data shows Greenfield Rehabilitation & Health Care Center earning a D grade with a score of 52/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels are a potential concern at Greenfield Rehabilitation & Health Care Center, with 3.08 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 21 deficiencies at Greenfield Rehabilitation & Health Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.08 3.8 Below Average
Registered Nurses (RN) 0.62 0.7 Below Average
Licensed Practical Nurses (LPN) 0.65 0.7 Average
Certified Nursing Assistants (CNA) 1.80 2.4 Below Average
Weekend Total Nursing 2.55 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Jan 14, 2026
Most Recent Inspection
🟠 21 Moderate
View recent deficiencies (5 shown)
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jan 14, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jan 14, 2026 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0636 Severity E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    Jul 16, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Jul 16, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.7% 4.5% Better
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 8.2% 14.5% Better
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 17.4% 14.0% Worse
Excessive weight loss 1.8% 7.5% Better
New/worsened incontinence 24.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $4,516

How This Grade Was Calculated

This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
46
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 16, 2025
Deficiencies (Cycle 1)
9