Green Hills Health Care Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 53 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 47% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 56 beds and averages 43.7 residents a day — about 78% occupied, or roughly 12 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.16 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.35 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.97 hrs/resident/day on weekends vs 4.76 on weekdays — 17% thinner on weekends. RN hours go from 1.31 to 0.80 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · E2024-11-21 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, resident and staff interviews, and policy review, the facility failed to maintain dignity in dining for 2 of 4 residents (Resident #10 and #23) reviewed. The facility reported a census of 44 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #10 having BIMS (Brief Interview for Mental Status) of 10, indicating moderate cognitive impairment and had the following diagnoses: Alzheimer ' s Disease, Non-Alzheimer ' s Dementia, and history of stroke. The MDS also identified Resident #10 needing partial to moderate assistance with eating and no impairment of upper extremities. Review of Resident #10's Care Plan initiated on 8/12/24 indicated Resident #10 has potential for malnutrition as evidenced by nutritional screening tool with an intervention for Resident #10 to eat in the assisted dining room with no adaptive devices. Review of Resident #10's Dietary/Nutrition Profile dated 10/29/24 indicated the resident's diet included puree…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and staff interview, staff failed to serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 44 residents. Findings include: On 11/20/24 with meal service starting at 11:10 AM, Staff A, Food & Beverage Coordinator put on a glove, with the gloved hand opened a drawer, and with the same gloved hand touched tater tots, placed tater tots on a pan and into the oven. While preparing residents' plates, Staff A frequently leaned over the plates sitting on the shelf of the steam table with his apron touching the top surface side of the plates where food was placed. Staff A applied gloves, with gloved hands sliced a cucumber on a cutting board and with same gloved hands touched the cucumber slices. Staff A proceeded to wipe the cutting board with a dry cloth that was sitting on the counter, then placed green beans on the cutting board to cut into smaller pieces. Throughout the meal service, Staff A rested his bare hands on the cutting board and then placed food on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident record review, staff interview, and facility policy review the facility failed to develop and implement a base line care plan to include a resident's use of a high-risk medication for 1 resident (Resident #35) of 5 residents reviewed for base line care plans. The facility reported a census of 44 residents. Findings include: The Minimum Data Set (MDS) for Resident #35, dated 11/8/24, included diagnoses of transient cerebral ischemic attack (stroke) long term use of anticoagulants (blood thinner medication). The MDS documented the resident was receiving an anticoagulant. Resident #35's Order Summary Report documented a physician's order for Warfarin Sodium (blood thinner medication with high-risk for bleeding) 5 milligrams (mg) every Monday, Tuesday, Wednesday, Thursday, Saturday, and Sunday and 2.5 mg. on Friday. Resident #35's New Resident Initial Care Plan/Resident Summary dated 11/5/24, lacked inclusion of the anticoagulant and monitoring for side effects. Facility policy MDS Assessment and Care Plan Procedure, reviewed/revised 11/1/2020, documented the admitting…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident record review, staff interview, and facility policy review the facility failed to develop and implement a comprehensive person-centered care plan to include a resident's pressure ulcer and treatment for 1 resident (Resident #22) of 12 residents reviewed for care plans. The facility reported a census of 44 residents. Findings include: The Minimum Data Set (MDS) for Resident #22, dated 10/8/24, included diagnoses of stroke and Parkinson's. The MDS documented the resident had a Stage 2 (partial-thickness skin loss with exposed dermis) and Stage 3 (full-thickness skin loss) pressure ulcer. Resident #22's Skin Evaluation dated 10/2/24 documented a new skin issue of an unstageable (obscured full-thickness skin and tissue lose) pressure ulceration to the right heel present and measuring approximately 1.5 centimeters(cm) X 0.5 cm., with site moist with eschar tissue (dead tissue) present. Resident #22's Care Plan lacked inclusion of the pressure ulcer and treatment until 11/19/24. Facility policy MDS Assessment and Care Plan Procedure reviewed/revised 11/1/20 documented…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident record review, resident and staff interview, and facility policy review the facility failed to followed a physician's order for 1 resident (Resident #22) of 12 residents reviewed. The facility reported a census of 44 residents. Findings include: The Minimum Data Set (MDS) for Resident #22, dated 10/8/24, included diagnoses of stroke and Parkinson's. The MDS documented the resident had a Stage 2 (partial-thickness skin loss with exposed dermis) and Stage 3 (full-thickness skin loss) pressure ulcer. Resident #22's Skin Evaluation dated 10/2/24 documented a new skin issue of an unstageable (obscured full-thickness skin and tissue lose) pressure ulceration to the right heel present and measuring approximately 1.5 centimeters(cm) X 0.5 cm., with site moist with eschar tissue (dead tissue) present. Resident #22's Physician Order Summary dated, 11/20/24, documented an order to apply prevalon boots (padded boots to prevent pressure to areas) to both lower extremities at all times due to pressure injury, every day and night shift with starting order date of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, facility provided documents, and policy review the facility failed to ensure residents received care to prevent hospitalization by administering incorrect medications to 1 of 1 (Resident #8) resident reviewed. The facility reported a census of 44. Findings include: Review Resident #8's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 4, indicating severe cognitive impairment. The MDS indicated the following diagnosis: Hypertension, Hyperlipidemia, Non-Alzheimer ' s Dementia, and Depression. Review of Functional Abilities and Goals assessment dated [DATE], indicated Resident #8 was dependent on assistance with toileting, showering, dressing, and transferring. Review of Resident #8's Census report indicated hospitalization on 9/1/24 and returning to the facility on 9/3/24. Review of Resident #8's Progress Notes revealed the following: On 9/1/24 at 3:09 PM: Notified at 1:00 PM by Medication Aide on duty that resident had possibly received the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident record review, resident and staff interview, and facility policy review the facility failed to complete physician treatment orders that were documented as completed for 1 resident (Resident #22) of 12 residents reviewed. The facility reported a census of 44 residents. Findings include: The Minimum Data Set (MDS) for Resident #22, dated 10/8/24, included diagnoses of stroke and Parkinson's. The MDS documented the resident had a Stage 2 (partial-thickness skin loss with exposed dermis) and Stage 3 (full-thickness skin loss) pressure ulcer. Resident #22's Skin Evaluation dated 10/2/24 documented a new skin issue of an unstageable (obscured full-thickness skin and tissue lose) pressure ulceration to the right heel present and measuring approximately 1.5 centimeters(cm) X 0.5 cm., with site moist with eschar tissue (dead tissue) present. Resident #22's Physician Order Summary dated, 11/20/24, documented an order to apply prevalon boots (padded boots to prevent pressure to areas) to both lower extremities at all times due to pressure injury, every day and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFE CARE SERVICES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA