nursing home in Greenfield, IA
Greenfield Rehabilitation & Health Care Center
615 SE Kent Street, Greenfield, IA 50849 · (641) 743-6131
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Greenfield Rehabilitation & Health Care Center at a glance
Greenfield Rehabilitation & Health Care Center is a 46-bed for-profit nursing home in Greenfield, Iowa (Adair County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 17, 2025) found 9 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $4,516.
Nursing staff turnover is 55.8% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 22, 1998
- Resident/family council
- Resident
- County
- Adair County
- CMS Certification Number
- 165383
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.28 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.76 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.8% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 51 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $4,516 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 42 | 52 | 86 | |
| Occupancy | 92% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.6% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.3% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.2% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.6% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 4.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 4.5% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.9% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 88.5% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.4% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 15, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 3, 2026 |
| January 15, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 3, 2026 |
| July 17, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 17, 2025 |
| July 17, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 17, 2025 |
| July 17, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected July 24, 2025 |
| July 17, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected July 17, 2025 |
| July 17, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 17, 2025 |
| July 17, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 19, 2025 |
| July 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 25, 2025 |
| July 17, 2025 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected August 1, 2025 |
| July 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 17, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 17, 2025 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 17, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 1, 2025 |
| August 29, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected September 6, 2024 |
| August 29, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected September 6, 2024 |
| August 29, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected September 13, 2024 |
| August 29, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 13, 2024 |
| August 29, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 13, 2024 |
| August 29, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 13, 2024 |
| August 29, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 13, 2024 |
| August 29, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 13, 2024 |
| August 29, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 13, 2024 |
| June 20, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected July 5, 2023 |
| June 20, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected July 5, 2023 |
| June 20, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected June 26, 2023 |
| June 20, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected June 23, 2023 |
| June 20, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 23, 2023 |
| June 20, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected July 7, 2023 |
| June 20, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 27, 2023 |
| June 20, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected June 23, 2023 |
| June 20, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 20, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 20, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 20, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 11, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $4,516 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 16, 2025 | Payment Denial | 6 days from August 13, 2025 |
| January 30, 2024 | Fine | $4,516 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HINZ, ARLENE Individual | 5% or greater direct ownership interest | 50% | 01/01/1990 |
| HINZ, ROGER Individual | 5% or greater direct ownership interest | 50% | 01/01/1990 |
| HINZ, ARLENE Individual | corporate director | NOT APPLICABLE | 01/01/1990 |
| HINZ, DANIEL Individual | corporate director | NOT APPLICABLE | 05/01/2019 |
| HINZ, ROGER Individual | corporate director | NOT APPLICABLE | 01/01/1990 |
| HINZ, ARLENE Individual | corporate officer | NOT APPLICABLE | 01/01/1990 |
| HINZ, DANIEL Individual | corporate officer | NOT APPLICABLE | 05/01/2019 |
| HINZ, ROGER Individual | corporate officer | NOT APPLICABLE | 01/01/1990 |
| TUTERA SENIOR LIVING & HEALTH CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| HINZ, DANIEL Individual | w-2 managing employee | NOT APPLICABLE | 05/01/2019 |
Other nursing homes near Greenfield Rehabilitation & Health Care Center
- ★★★★★5Much above average
Creston Specialty Care
1001 Cottonwood Drive, Creston, IA 50801 · 16.6 mi
Non-profit · 74 beds · Part of Care Initiatives
★★★★★2Below averageAccura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · 17.5 mi
For-profit · 31 beds · Part of Accura Healthcare
★★★★★2Below averageCaring Acres Nursing and Rehab Center
1000 Hillcrest Drive, Anita, IA 50020 · 18.8 mi
For-profit · 41 beds
★★★★★1Much below averageAzria Health Winterset
1015 West Summit, Winterset, IA 50273 · 22.1 mi
For-profit · 65 beds · Part of Azria Health
★★★★★2Below averageCorning Specialty Care
1614 Northgate Drive, Corning, IA 50841 · 25.6 mi
Non-profit · 40 beds · Part of Care Initiatives
★★★★★4Above average
Frequently asked questions
What is Greenfield Rehabilitation & Health Care Center's rating?
Greenfield Rehabilitation & Health Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Greenfield Rehabilitation & Health Care Center receive?
Its most recent standard health inspection found 9 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Greenfield Rehabilitation & Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Greenfield Rehabilitation & Health Care Center?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Greenfield Rehabilitation & Health Care Center and how do I contact it?
Greenfield Rehabilitation & Health Care Center is at 615 SE Kent Street, Greenfield, IA 50849. Phone: (641) 743-6131.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.