Nursing home
Greenfield Rehabilitation & Health Care Center
615 Se Kent Street, Greenfield, IA 50849 · Map
For profit - Corporation · 46 certified beds
Greenfield Rehabilitation & Health Care Center is a Medicare-certified nursing home in Greenfield, Iowa. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.08 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jul 17, 2025 cited 9 deficiencies.
- 1 fine totaling $4,516In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Greenfield Rehabilitation & Health Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.08 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.62 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.80 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 46.4% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 15, 2026 inspection was corrected by February 3, 2026
Penalties in CMS records: 1 fine totaling $4,516, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Greenfield Rehabilitation & Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 15, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
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 · Aug 29, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 29, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 615 Se Kent Street
Greenfield, IA 50849 - CMS certification #
- 165383
- Ownership
- For profit - Corporation
- Certified beds
- 46
- Avg residents/day
- 43.8
- Provider type
- Medicare and Medicaid
- First certified
- 1998-04-22
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Greenfield Rehabilitation & Health Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Adair County Memorial Hospital, Greenfield. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Community Care Center, Stuart. 15.0 miles away, straight line.
- Nearest home health agency office
- Everystep, Creston. 17.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicap® Pharmacy. 17.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50849 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 50849.
Care Initiatives Hospice - Greenfield, office in Greenfield, 0.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ch Specialty Services Ia PC, Osceola. 39.1 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Greenfield Rehabilitation & Health Care Center a good nursing home?
CMS gives Greenfield Rehabilitation & Health Care Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Greenfield Rehabilitation & Health Care Center staffed?
Greenfield Rehabilitation & Health Care Center reports 3.08 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Greenfield Rehabilitation & Health Care Center had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Greenfield Rehabilitation & Health Care Center have?
Greenfield Rehabilitation & Health Care Center is certified for 46 beds.