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Greenfield Rehabilitation & Health Care Center

615 Se Kent Street, Greenfield, IA 508496417436131Ownership: For profit - CorporationCertified beds: 46Avg. daily residents: 42County: Adair

The complete public record on Greenfield Rehabilitation & Health Care Center, a Medicare & Medicaid–certified nursing home in Greenfield, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Iowa average: 3.1 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Greenfield Rehabilitation & Health Care Center holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Nursing staff turnover of 56% is well above the Iowa average of 44%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $4,516 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.28 total nurse staff hours per resident per day
below the state average (3.82)
0.47 RN hours per resident per day
below the state average (0.74)
2.76 weekend nurse staff hours per resident per day
55.8% total nursing staff turnover
above the state average (44.2)
71.4% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

July 17, 2025 most recent standard health inspection
9 health deficiencies cited in the most recent inspection cycle
above the state average (6.6)
7 health deficiencies in the two prior cycles combined
$4,516 in federal fines across 1 penalty (last 3 years)
below the state average ($19,559)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

20 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
January 15, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
January 15, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm
July 17, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
July 17, 20250636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E · Potential for more than minimal harm
July 17, 20250582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D · Potential for more than minimal harm
July 17, 20250638Assure that each resident’s assessment is updated at least once every 3 months.D · Potential for more than minimal harm
July 17, 20250641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
July 17, 20250655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD · Potential for more than minimal harm
July 17, 20250880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm
August 29, 20240656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.