AMS Memorial-Greene

Location & what’s nearby

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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.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2022-02-21 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on nursing schedule reviews, and staff interviews, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week. Review of nurse coverage schedules revealed 3 days in a 4 week period were without RN coverage. The facility reported a census of 22. Findings include: The Nursing Schedule 2022 dated 1/23/22 to 2/19/22 the facility did not have an RN working on 2/5/22, 2/6/22 and 2/12/22. On 2/14/22 at 12:30 PM, the Nursing Home Administrator (NHA) stated that the facility used to have a waiver for eight hour RN coverage but the facility no longer had the waiver. The NHA stated they are looking to pursue getting the waiver again. On 2/17/22 at 12:47 PM, the Director of Nurse (DON), confirmed the facility did not have eight hours of RN coverage every day since one RN retired on 2/1/22. She stated the Nursing Home Administrator (NHA) was looking at getting a waiver again as the facility used to have one. She stated the NHA lived right across the street and was a RN.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-02-21 · tag F0885 — failed to notify residents/families about COVID-19 — widespread
  Report COVID19 data to residents and families.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility email correspondence with families, staff interviews, and policy review the facility failed to document notification to residents. The facility also notify resident representatives and families by 5:00 PM the next calendar day following the occurrence of a single confirmed novel Coronavirus 2019 (COVID-19) staff or resident positive for 7 of 8 positive cases in January 2022. The facility reported a census of 22 residents. Findings include: The undated paper labeled Staff Positive Cases for January 2022 provided by the facility Office Manager documented eight positive cases of COVID-19 for staff for the month of January. The indicated that the following staff tested positive on the following dates: 1. Staff A 1/11/22 2. Staff B 1/17/22 3. Staff C 1/17/22 4. Staff D 1/21/22 5. Staff E 1/22/22 6. Staff F 1/23/22 7. Staff G 1/23/22 8. Staff H 1/30/22 Record review of an email provided by the facility regarding family notification of COVID-19 positives in the facility dated 1/21/22 at 9:46 AM documented notification to families all the positive cases for the month 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-02-21 · tag F0606 — failed to not employ staff found guilty of abuse — isolated
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on employee files review, staff interviews and abuse policy review, the facility failed to complete a background check for 1 of 5 employees (Staff I) prior to hire. The facility reported a census of 22 residents. Findings include: The record review of a document titled Archived Time Card Report revealed Staff I, Certified Nurse Aide (CNA), was hired on 3/15/18. The record review of Staff I's Certified Nurse Aide active license revealed the following: Certification date: 11/22/1993 Expiration date:1/31/24 The record reviewed on 2/17/22 at 11:00 AM of Staff I's employee file lacked a background check prior to hire. On 2/17/22 at 1:33 PM the facility provided a background check they found in the basement dated 3/19/07 for Staff I. The Office Assistant revealed it was completed at Staff I's prior place of employment, she then revealed Staff I's prior place of employment was not affiliated with this facility, but did have the same Administrator at the time. On 2/17/22 at 1:34 PM, the facility provided a background check dated 2/17/22 for Staff I indicating that Staff I was ok to…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-02-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and policy review, the facility failed to develop and implement a comprehensive person-centered care plan as directed by the Resident Assessment Instrument (RAI) manual and ongoing as needed with resident changes for 2 of 12 residents reviewed (Resident #20 and #18). The facility reported a census of 22 residents. Findings include: 1. The Minimum Data Assessment (MDS) dated [DATE] for Resident #20 documented an entry date to the facility as 1/17/22. The MDS documented Resident #20 needed limited assistance of one (1) person to assist him with bed mobility, transfers, ambulation, dressing and personal hygiene. The MDS also documented a diagnosis of End-stage Renal Disease and the need for Dialysis while he was a resident at the facility and also prior to his entry. Resident #20's Electronic Health Record (EHR) on 2/21/22 documented the MDS was transmitted and accepted to the Centers of Medicare and Medicaid Services (CMS) on 1/24/22. Resident #20's Electronic Health…

  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 · D2022-02-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 observations, clinical record review, facility policy review, and staff interview, the facility failed to review and revise care plans for 2 out of 12 residents reviewed (Residents #15 and #18). The facility failed to update the care plan after each episode following a fall by Resident #15 and after an antipsychotic medication was added for Resident #18. The facility reported a census of 22. Findings include: 1. Resident #15's Minimum Data Set (MDS) assessment dated [DATE], included the following diagnoses cerebrovascular accident (CVA) and generalized muscle weakness. The Brief Interview for Mental Status (BIMS), documented a score of 15, indicating intact cognition. Resident #15 required extensive assistance of one person for transfering and toilet use. Resident #15 required limited assistance of one person for ambulation in room. A review of Resident #15's progress notes recorded falls on 7/25/21, 12/7/21, 1/29/22, 2/3/22 and 2/7/22. A review of incident reports for Resident #15 documented falls on…

  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 · D2022-02-21 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 reviews and interviews, the facility failed to ensure that properly trained personnel certified in CPR (cardiopulmonary resuscitation) were available 24 hours per day. The review of CPR certified staff along with the review of the schedules for the nursing staff revealed that the facility went without a CPR certified staff member on 2 shifts in a 4 week period. During the review of 16 residents, 3 residents clinical records indicated the resident requested CPR at the time of the survey (Resident #13, #18, and #73). The facility reported a census of 22 residents. Findings include: The Nursing Schedule 2022 dated [DATE] to [DATE], documented that the Nursing Home Administrator (NHA), Registered Nurse (RN), worked as the nurse from 10:00 PM to 6:00 AM on [DATE] and [DATE]. The facility lacked additional staff certified in CPR working that night. The facility was unable to provide a current CPR certificate for the NHA when it was requested on [DATE]. On [DATE] at 11:15 AM, the Director of Nursing…

  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 · D2022-02-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 clinical record review, staff, and resident interviews, the facility failed to ensure staff provided and followed the individualized restorative programs for 2 of 3 residents reviewed (Residents #10 and #21). The facility reported a census of 22 residents. Findings include: 1. Resident #10's Minimum Data Set (MDS) assessment dated [DATE], documented diagnoses that included non-Alzheimer's dementia, anxiety, and depression. Resident #10's Brief Interview for Mental Status (BIMS) score was a 10 out of 15, indicating moderate cognitive impairment. Resident #10 required extensive assistance of two people for transfers, ambulation, and toileting. An OT Restorative Program form dated 9/30/20, directed that 3-6 times a week, Resident #10 was to have upper extremity passive range of motion (PROM) and active range of motion (AROM). A PT Restorative Program form dated 12/30/20, directed that 3-6 times a week Resident #10 was to have seated exercises, the nustep, and ambulation. A POC (Plan of Care) Response…

  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 · D2022-02-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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 clinical record review, pharmacy reviews, staff interviews, and policy review; the facility failed to ensure an As Needed (PRN) medication order for an anti-anxiety drug was limited to 14 day use. The facility failed to ensure a physician documented it was appropriate for the PRN order to be extended beyond the 14 days. The facility failed to a documented rationale in the resident's medical record to indicate the duration for the PRN order was required for 1 of 5 residents reviewed (Resident #1). The facility also failed to routinely monitor residents receiving anti-psychotic medications for potential adverse consequences for 2 of 5 residents reviewed (Resident #1 and #10). The facility reported a census of 22 residents. Findings include: 1. The Minimum Data Assessment (MDS) dated [DATE] for Resident #1 documented a Brief Interview for Mental Status (BIMS) of two (2), indicating severe cognitive decline. The MDS recorded that Resident #1 diagnoses included stroke, cancer, diabetes mellitus, 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2020-03-05 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on resident and staff interviews and facility document review, the facility failed to ensure staff offered residents a snack at bedtime each night. The facility census was 27 residents. Findings include: During group interview on 3/3/20 at 1:00 p.m., four of four residents present reported not being offered bedtime snacks every night. Residents stated they do not get snacks after 2:30 p.m. The January 2020 Snack Flow Sheet Valley View revealed no documentation of bedtime snacks being offered to residents. The February 2020 Snack Flow Sheet Valley View had two documented entries of snacks being offered. During interview on 3/3/20 at 2:16 p.m., Staff E stated snacks were not always passed after supper and it has been a problem for a while. Staff E helped prepare the snacks and finds the snacks not passed when she comes back in the morning. During interview on 3/4/20 at 11:15 a.m., the Director of Nursing stated the snack records were not being filled out consistently.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2020-03-05 · 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, facility policy review and staff interview, the facility failed to maintain a clean and sanitary kitchen and failed to serve resident food items utilizing proper hair/beard coverings. The facility census was 27 residents. Findings include: 1. During observation of the breakfast meal on 3/2/20 at 8:48 a.m., Staff C, Dietary Aide, wore a beard net. However, the net did not contain all of their beard. Staff C had approximately 3 inches of beard exposed on the sides of his face and on is neck. Staff C was standing over food in the kitchen while it was being dished. Staff C transported dished food in and out of the kitchen. 2. During observation of the noon meal on 3/2/20, at 12:14 p.m., Staff C, Dietary Aide, wore hair and beard restraints. However, the beard restrain failed to fully restrain the beard. The beard net covered Staff C's nose, covering the mustache. Staff C had approximately 3 inches on each side of the beard not covered by beard net. Approximately 2 inches of beard on Staff C's neck was not restrained in the beard net. Staff C transported food from…

  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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

This home reported $341 paid to related parties (affiliated landlords or management companies) in its most recent 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 2023. 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, FY2023). 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