The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Nursing home report
GREENFIELD CARE CENTER OF FAIRFIELD
FAIRFIELD, CA · Medicare-certified · 90 beds
Needs attention
Special Focus FacilityFor-profitChain member
Not yet rated
Overall rating: not rated. This facility is a Special Focus Facility (SFF) with $129,584 in fines in the last 24 months; reported nurse staffing is 4.44 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.4427 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $129,584special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4427.
Staffing detail
- Registered nurses
- 1.06
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.63
- Weekend nursing
- 4.07
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%0%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
1.7%4.3%Worsening
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
7.3%4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%7.7%Improving
Residents whose ability to walk got worse
—23.1%—
Long-stay residents on antianxiety or sleep medication
0%9.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2%0%Improving
Residents with new or worsening incontinence
5.3%9%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.2%—
Short-stay residents given the pneumonia vaccine
98.1%96.4%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
The home failed to properly dispose of garbage and other waste. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $129,584 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $439,127 in total fines · 2 payment denials.
- 12 days
Medicare/Medicaid payment denial
Mar 13, 2025
- $129,584
Federal fine
Mar 13, 2025
- $99,333
Federal fine
Mar 26, 2024
- 25 days
Medicare/Medicaid payment denial
Aug 11, 2023
- $210,210
Federal fine
Aug 11, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EVA CARE GROUP · 9 homes · 3.3 stars avg
- Occupancy
- 55.2 residents on an average day (61% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.