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Greenfield Rehabilitation & Health Care Center

All states › Iowa › Greenfield › Greenfield Rehabilitation & Health Care Center

615 SE Kent Street Greenfield, IA 50849 · Adair County

(641) 743-6131

Accepts Medicare Accepts Medicaid 46 certified beds For profit

CMS certification number 165383 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Greenfield Rehabilitation & Health Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Greenfield Rehabilitation & Health Care Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 23 citations in the last three years. CMS imposed 2 penalties, including $4,516 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.18 hours per resident per day at Greenfield Rehabilitation & Health Care Center, below the Iowa median of 3.76 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 14% below its all-week average. 52.6% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.18 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.74 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds46
Residents per day 44 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 1998
Legal business nameGREENFIELD MANOR INC

Paying for care at Greenfield Rehabilitation & Health Care Center: Medicare and Medicaid

Greenfield Rehabilitation & Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 27, 2026 and found 7 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 23 citations at Greenfield Rehabilitation & Health Care Center across 4 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 17, 2025. The most common areas cited were resident assessment and care planning (11) and quality of life and care (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 17, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 27, 2026 · 7 citations

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Sep 18, 2026)

EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Sep 18, 2026)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 18, 2026)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 18, 2026)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Sep 18, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 18, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Sep 18, 2026)

January 15, 2026 · 2 citations · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Feb 3, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Feb 3, 2026)

July 17, 2025 · 7 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 25, 2025)

EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Aug 1, 2025)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Aug 1, 2025)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Aug 1, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Aug 1, 2025)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Aug 1, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 1, 2025)

August 29, 2024 · 7 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 13, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 13, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Sep 13, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 13, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 13, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Sep 13, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 13, 2024)

Questions to ask on a tour of Greenfield Rehabilitation & Health Care Center

  1. Inspectors cited the home at the actual-harm level on July 17, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 27, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 52.6% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $4,516 in fines.

DateTypeAmount or length
Jul 16, 2025 Payment Denial 6 days of payments denied
Jan 30, 2024 Fine $4,516

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 4/5
August 2026 3/5 2/5 2/5 5/5
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Location

Hospitals near Greenfield Rehabilitation & Health Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Community Care Center Stuart · 15.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 65 beds · Medicaid
Creston Specialty Care Creston · 16.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 74 beds · Medicaid
Accura Healthcare of Creston Creston · 17.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 31 beds · Medicaid
Caring Acres Nursing and Rehab Center Anita · 18.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 41 beds · Medicaid
Azria Health Winterset Winterset · 22.1 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 65 beds · Medicaid

More nursing homes near Greenfield Rehabilitation & Health Care Center ›   All nursing homes in Greenfield ›

Compare Greenfield Rehabilitation & Health Care Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/greenfield/greenfield-rehabilitation-and-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.