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
3 of 5 overall
3 out of 5 stars overall. Greenfield Rehabilitation & Health Care Center has 2-star health inspection and staffing ratings, 5-star quality measures, no fines in the last 24 months, and reported nurse staffing of 3.10 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.1034 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 3.1034.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.68
- Nurse aides
- 1.90
- Weekend nursing
- 2.63
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.1%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
0.7%Improving
Residents who lost too much weight
4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.7%Improving
Residents whose ability to walk got worse
17.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
27.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.8%Improving
Residents with depressive symptoms
3.4%Worsening
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
99.3%Steady
Short-stay residents given the seasonal flu vaccine
88.5%Steady
Short-stay residents given the pneumonia vaccine
88.3%Steady
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 home failed to protect residents from the wrongful use of their belongings or money. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: E
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
- 43.7 residents on an average day (95% 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.