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Nursing HomeMedicaid

Greenfield Rehabilitation & Health Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

615 Se Kent Street, Greenfield, IA 5084946 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 51 Google reviews

5
4
3
2
1
Greenfield Rehabilitation & Health Care Center Nursing Home in Greenfield, IA — Street View
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What this means for your family

Greenfield is widely praised for its clean environment and dedicated nursing staff, making it a strong candidate for daily care. However, because some families have reported discrepancies in billing and communication with administration, we strongly recommend keeping a detailed log of all therapy sessions and reviewing your monthly statements carefully.

Google Reviews

Google Reviews

51 reviews on Google
Greenfield Rehabilitation & Health Care Center receives overwhelming praise for its clean environment, friendly staff, and high-quality resident care. While the vast majority of reviews are highly positive, a few critical voices highlight significant concerns regarding administrative transparency, billing accuracy, and a perceived decline in staffing quality due to reliance on agency workers.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean9.0Activities9.0MedsN/AMemoryN/AComms5.0Value4.0

Strengths

  • Clean, odor-free facility
  • Attentive and caring nursing staff
  • Engaging activity department
  • Warm, home-like atmosphere

Concerns

  • Administrative and billing transparency issues (mentioned by 2 reviewers)
  • Reliance on agency staff impacting care consistency (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02019(1)5.02023(1)1.02024(1)4.92025(39)5.02026(26)

Distribution · 68 analyzed

5
64
4
2
3
1
2
0
1
1
12 reviews posted between Mar 10, 2026Mar 11, 2026 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and odor-free the facility is; what are your daily routines for maintaining that home-like atmosphere?
  • 2The activity department seems to be a real highlight for residents here; could you tell us more about the types of engaging programs available each week?
  • 3How do you ensure that the nursing staff remains consistent and familiar to the residents, especially when managing temporary staffing needs?
  • 4In the event of a medical emergency during the night, what is the specific protocol for getting immediate care for a resident?
  • 5We want to make sure everything is clear from the start; what is your process for communicating updates regarding billing or administrative changes to families?
  • 6With the small, intimate capacity of 46 residents, how do you personalize daily care plans to meet each person's specific medical and social needs?

Personalized based on this facility's data


Key Review Excerpts

I was always respected and my concerns were always addressed promptly and appropriately by all staff in all departments.

Rehab patient · 2026★★★★★

The issues I had was with the administrator and financial departments. I was lied to several times about what they were giving the patient and physical therapy sessions.

Family member · 2025★★★☆☆

The residents enjoy the variety of activities offered daily and rave about the meals that are served.

Visitor/Community member · 2025★★★★★
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
70%
Registered nurses for medical care
Total Nursing
3.10hrs
76%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.4%
Better than Avg
Here
3.4%
US
12.1%
IA
4.1%
Adair
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.1%
Better than Avg
Here
11.1%
US
15.5%
IA
19.4%
Adair
17.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
19.5%
IA
20.7%
Adair
27.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
IA
93.9%
Adair
96.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
IA
4.3%
Adair
5.6%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
3.2%
IA
3.7%
Adair
4.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.5%
Mixed vs Avgs
Here
88.5%
US
79.8%
IA
73.3%
Adair
89.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.3%
Mixed vs Avgs
Here
88.3%
US
81.8%
IA
84.1%
Adair
90.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Adair
2.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Above state avg (6.2)
4 complaint-triggered
$4,516 in fines

Greenfield Rehabilitation & Health Care Center shows concerning patterns with 43 deficiencies across 5 surveys, including multiple family complaints. Primary recurring issues involve care planning and assessments, safety and accident prevention, and fire safety systems. While all violations report correction dates, problems persist across multiple years, particularly with resident assessments and building safety requirements, suggesting ongoing operational challenges.

Jan 15, 2026Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 17, 2025Routine
12
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0636Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 17, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 29, 2024Routine
15
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0656Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Jun 20, 2023Routine
11
0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Jun 20, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Payment Denial

Jul 16, 2025

6-day denial

Fine

Jan 30, 2024

$4,516

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
22deficiencies
Feb 9, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Jan 15, 2026Complaint
Clean

Fed violations: 2, State violations: 0

Aug 14, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 17, 2025Inspection
Clean

Fed violations: 7, State violations: 1

Sep 13, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Aug 29, 2024Inspection
Clean

Fed violations: 7, State violations: 0

Jul 11, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Jun 20, 2023Inspection
Clean

Fed violations: 4, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Greenfield Rehabilitation & Health Care Center

Organization Type

for profit

Ownership & Management

Owners

Hinz, Arlene

Owner

50%

Hinz, Roger

Owner

50%

Key personnel

Hinz, DanielW-2 Managing EmployeeHinz, ArleneOfficer / DirectorHinz, DanielOfficer / DirectorHinz, RogerOfficer / DirectorHinz, ArleneOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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