The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Greenfield Rehabilitation & Health Care Center
Greenfield, IA · Medicare-certified · 46 beds
In good standing
For-profit
Data as of July 1, 2026
3 of 5 overall
Greenfield Rehabilitation & Health Care Center has a 3-star overall rating, with weak health inspection and staffing ratings (2 stars each) but strong quality measures (5 stars). Reported nurse staffing is 3.28 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2757 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2757.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.74
- Nurse aides
- 2.06
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 71%
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
12%12.9%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%2.2%Worsening
Residents with a urinary tract infection
0%2.5%Worsening
Residents who lost too much weight
3%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%15.2%Worsening
Residents whose ability to walk got worse
15.1%14.7%No change
Long-stay residents on antianxiety or sleep medication
29.4%28.6%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.6%26.9%Worsening
Residents with depressive symptoms
2.8%5.3%Worsening
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
—96.9%—
Long-stay residents given the pneumonia vaccine
97.4%97.6%No change
Short-stay residents given the seasonal flu vaccine
—88.5%—
Short-stay residents given the pneumonia vaccine
—86.4%—
What the inspectors found
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,516 in total fines · 1 payment denial.
- 6 days
Medicare/Medicaid payment denial
Jul 16, 2025
- $4,516
Federal fine
Jan 30, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 42.3 residents on an average day (92% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.