Nursing homeActive
Greenfield Rehabilitation & Health Care Center
615 SE Kent Street, Greenfield, IA 50849641743613146 certified beds · 42 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
20
● 0● 19● 1
Penalties · 3 yrs
$4,516
1 fine · 1 action
Last survey
2026-01-15
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-15 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-17 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-08-29 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-06-20 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 165383-20260115-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-03Record 165383-20260115-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-25Record 165383-20250717-F689
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F582
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F638
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F655
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 165383-20250717-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 165383-20240829-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 165383-20230620-F580
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 165383-20230620-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 165383-20230620-F689
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 165383-20230620-F727
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-16 | Denial of payment for new admissions Payment denial for 6 days, from 2025-08-13 | — | CMS · Penalties |
| 2024-01-30 | Civil money penalty | $4,516 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.47
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.28
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.76
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover56%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover71%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.2% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.0% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Hinz, Arlene Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Hinz, Roger Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Tutera Senior Living & Health Care LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hinz, Arlene Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hinz, Arlene Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hinz, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hinz, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hinz, Daniel Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hinz, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hinz, Roger Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Adair.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Community Care Center Stuart | 15.0 mi | 2026-01-28 | 0120 |
| Creston Specialty Care Creston | 16.6 mi | 2026-07-01 | 0172 |
| Accura Healthcare of Creston Creston | 17.5 mi | 2026-06-25 | 2342 |
| Caring Acres Nursing and Rehab Center Anita | 18.8 mi | 2026-06-04 | 0493 |
| The New Homestead Care Center Guthrie Center | 26.2 mi | 2026-06-25 | 0210 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |