Greenfield Care Center of Fillmore, LLC
Strong Medicare quality ratings; families often praise engaging social activities and religious services. Still worth an in-person visit.
based on 23 Google reviews

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What this means for your family
While the facility offers excellent social programming and has some long-term satisfied residents, the recent trend of reports regarding wound neglect and supply shortages is alarming. If you choose this facility, you must implement a rigorous daily check of your loved one's skin integrity and ensure they are being turned regularly.
Google Reviews
Google Reviews
23 reviews on Google“Families should exercise extreme caution, as recent reviews highlight severe issues with wound care, frequent shortages of medical supplies, and inadequate monitoring of residents. While some long-term residents have benefited from the social activities and specific staff members, there is a recurring pattern of reports regarding neglected hygiene and medical complications.”
Quality Themes
Tap a score for detailsStrengths
- Engaging social activities and religious services
- Accessible and responsive administration
- Clean environment for long-term residents
- Skilled nursing for medically complex patients
Concerns
- Inadequate wound care and pressure sore management (mentioned by 3 reviewers)
- Frequent shortages of medical supplies and medications (mentioned by 2 reviewers)
- Staffing and monitoring failures leading to patient neglect (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 24 analyzed
How They Respond to Reviews
The owner uses highly templated, repetitive responses that fail to address specific allegations in negative reviews. Positive reviews receive brief, standard acknowledgments, while negative reviews are met with a scripted invitation to call a specific phone number.
Questions for Your Tour
- 1I noticed some families have mentioned how much they appreciate the religious services and social events; could you tell me more about the types of activities planned for the residents each week?
- 2How does the nursing team specifically manage wound care and skin integrity for residents who are at risk for pressure sores?
- 3What protocols are in place to ensure that medications and essential medical supplies are always fully stocked and administered on schedule?
- 4Since the administration is known for being responsive, what is the best way for our family to maintain consistent and clear communication with the care team regarding daily updates?
- 5In the event of a medical emergency during the night, what is the specific process for notifying the family and coordinating immediate care?
- 6Could you walk me through your current processes for monitoring residents to ensure their individual care needs are being met around the clock?
Personalized based on this facility's data
Key Review Excerpts
“This is such a clean, caring environment. It has a low turnover and Matthias is an amazing social director from games sing along church services and more.”
“My sister was there getting treated she can't move her hair was matted they didn't turn my sister they're native American they cut her hair without our consent no regard for patients beliefs or cultural beliefs”
“Greenfield Care is one of the best in Ventura County. My friend's 95 yr old mother is a 7 year resident. She is blind, has some dementia and is well taken care of and happy.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
8
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing 15 complaints leading to deficiencies over three years. The most recurring problems involve care planning and quality standards, medication management, and fire safety systems. While all issues show correction dates, the repeated nature of problems with care planning (appearing across multiple surveys) and the high volume of family-initiated complaints suggest ongoing challenges with consistent quality care that families should investigate thoroughly during visits.
Mar 20, 2026Routine11
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Jun 26, 2025Complaint1
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 7, 2025Routine16
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
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
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Feb 14, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nov 25, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
May 22, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal Penalties
Fine
Mar 13, 2024
$8,018
Ownership & Operations
Who Operates This Facility
Greenfield Care Center of Fillmore, LLC
for profit
Chain Affiliation
Eva Care Group
9 facilities nationwide
Chain avg rating: 3.3/5 · Rank 4 of 8
Ownership & Management
Owners
Chen, Jenq
Owner
Chen, Tze-Yun
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit gccfillmore.com
Medicare data downloads
Original nursing home datasets
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