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C
Below Standard

Greenfield Rehabilitation & Health Care Center

615 SE Kent Street · Greenfield, IA 50849

6417436131 · For profit - Corporation

46 beds43.8 residents82 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Greenfield Rehabilitation & Health Care Center receives an overall staffing grade of C (Below Standard). With 3.078 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6194 HPRD, below the recommended 0.75. It is 0.82 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.35% compared to weekdays. The facility has low agency staff usage (4.48% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.078 HPRD — needs 0.40 more hours per resident per day.
⚠️RN staffing (0.6194 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.48%) — mostly permanent, familiar staff
Total Nurse HPRD
3.078hrs/resident/day▼ 0.82
CMS benchmark: 3.48
RN HPRD
0.6194hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
22.35%
3.2855 weekday → 2.5512 weekend
⚠ Significant weekend reduction
Agency Staff
4.48%
11.73% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7432hrs/resident/day
Direct care aides
LPN HPRD
0.6531hrs/resident/day
Licensed practical nurses
Consistency
0.4321std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Adair County Average-0.17 HPRD
3.25
03.08 HPRD
vs. Iowa State Average-0.74 HPRD
3.82
03.08 HPRD
vs. National Average-0.82 HPRD
3.90
03.08 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Greenfield Rehabilitation & Health Care Center ★
Greenfield · This facility
—
C
3.0780.6194★★★☆☆
Creston Specialty Care
Creston
16.5 mi
C
3.1020.5455★★★☆☆
Accura Healthcare of Creston
Creston
17.5 mi
A
4.46590.9797★★☆☆☆
Caring Acres Nursing and Rehab Center
Anita
18.8 mi
C
3.03990.8025★☆☆☆☆
Azria Health Winterset
Winterset
22.1 mi
C
3.53810.4743★★☆☆☆
Corning Specialty Care
Corning
25.6 mi
C
3.08380.6823★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
19
Total Deficiencies
$4,516
Fines Assessed
Jul 17, 2025Health
7 deficiencies cited· Includes actual harm
▼
Aug 29, 2024Health
7 deficiencies cited
▼
Jun 20, 2023Health
4 deficiencies cited
▼
May 3, 2023Health
1 deficiency cited
▼

Penalty History

Jul 16, 2025Payment Denial
Jan 30, 2024Fine
$4,516
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.