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.
based on 51 Google reviews

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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 detailsStrengths
- 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
Distribution · 68 analyzed
How They Respond to Reviews
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.”
“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.”
“The residents enjoy the variety of activities offered daily and rave about the meals that are served.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
2
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with pressure sores (bedsores)
Residents who fell and were seriously hurt
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
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, 2026Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 17, 2025Routine12
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.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 17, 2025Complaint1
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, 2024Routine15
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Jun 20, 2023Routine11
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Jun 20, 2023Complaint1
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
Feb 9, 2026ComplaintClean
Fed violations: 0, State violations: 0
Jan 15, 2026ComplaintClean
Fed violations: 2, State violations: 0
Aug 14, 2025InspectionClean
Fed violations: 0, State violations: 0
Jul 17, 2025InspectionClean
Fed violations: 7, State violations: 1
Sep 13, 2024InspectionClean
Fed violations: 0, State violations: 0
Aug 29, 2024InspectionClean
Fed violations: 7, State violations: 0
Jul 11, 2023InspectionClean
Fed violations: 0, State violations: 0
Jun 20, 2023InspectionClean
Fed violations: 4, State violations: 0
Ownership & Operations
Who Operates This Facility
Greenfield Rehabilitation & Health Care Center
for profit
Ownership & Management
Owners
Hinz, Arlene
Owner
Hinz, Roger
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
51 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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