Greenfield Healthcare Center

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.

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.

50.5% 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 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 73.9% 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 23 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 39% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 163 beds and averages 120.4 residents a day — about 74% occupied, or roughly 43 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 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 is below 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 3.16 hrs/resident/day on weekends vs 3.59 on weekdays — 12% thinner on weekends. RN hours go from 0.60 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

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 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.

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 · D2026-01-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide showers as scheduled for 1 of 4 residents reviewed for Activities of Daily Living (ADLs). (Resident G)Findings include:The clinical record for Resident G was reviewed on 1/7/2026 11:46 a.m. The resident's diagnoses included, but were not limited to, weakness, depression, and nicotine dependence.The admission Minimum Data Set (MDS) assessment, dated 12/18/25, indicated Resident G was cognitively intact and used a wheelchair for ambulation.During an observation and interview with Resident G on 1/6/25 at 11:25 a.m., he indicated he had not had a shower for weeks and staff had just been cleaning him up when they were changing him in the bed. Resident G's hair was observed being shoulder length, greasy and tangled. Resident G indicated it was his fault and should have asked for one.During an observation of Resident G on 1/7/26 at 11:28 a.m., his hair appeared greasy and tangled. Resident G indicated no one had come in to ask him if he wanted a shower and he thought his shower days were Wednesdays 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-09 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  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 interview and record review, the facility failed to timely ensure vision services were provided for 2 of 2 residents reviewed for vision and hearing services. (Residents B and H)Findings include: 1.The clinical record for Resident H was reviewed on 1/6/26 at 10:37 a.m. Her diagnoses included, but were not limited to, photophobia, anxiety, and dementia. She was admitted to the facility on [DATE]. The Request For Service form, dated 7/7/25, signed by Family Member 4, indicated they would make alternate arrangements for eye care services. The impaired visual function care plan, initiated 7/3/25, indicated an intervention was to arrange consultation with eye care practitioner as needed, initiated 7/3/25. An interview was conducted with Family Member 4 on 1/6/26 at 12:49 p.m. She indicated Resident H had macular degeneration and needed to be seen by the eye doctor. She informed the MCUM (Memory Care Unit Manager) of this the other day. She also informed the unit's previous unit manager over two months ago…

  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 · Dcited before2026-01-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident was seen by urology for 1 of 2 residents reviewed for catheter care. (Resident 111)Findings include: The clinical record for Resident 111 was reviewed on 01/07/2026 10:45 a.m. The resident's diagnoses included, but were not limited to, Spina Bifida (a birth defect where the spine and spinal cord don't close properly in early pregnancy) and obstructive and reflux uropathy (obstruction and backward flowing in the urinary tract). During an observation and interview with Resident 111 on 1/6/26 at 12:12 p.m., they indicated their urinary catheter always had a lot of sediment and the catheter leaks a lot due to it getting clogged up from thick sediment and bladder spasms. Resident 111 indicated they wake up two to three times a week needing a complete bed change because their catheter had leaked all over their bed due to being clogged. Resident 111's foley catheter tubing was observed with pale yellow urine with thick sediment. The Annual Minimum Data Set (MDS) assessment, dated 12/17/25,…

  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 · D2026-01-09 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 interview, observation, and record review, the facility failed to accurately transcribe admission order for Resident D, have pain medication available as ordered for Resident D, and failed to address pain for Resident H for 2 of 2 residents reviewed for pain control.Findings include:1 The clinical record for Resident D was reviewed on 1/7/2026 at 11:41 AM. The resident's diagnoses included, but were not limited to, chronic pain and respiratory failure. An admission Minimum Data Set Assessment, dated 12/25/2025, indicated that Resident D was cognitively intact, utilizes routine and as needed pain medication, and experienced pain occasionally. A care plan, dated 12/22/2025, indicated Resident D had chronic pain. The interventions included, but were not limited to, attempt non-pharmacological interventions, pharmacological interventions, and to report pain to the physician. During an interview with Resident D, on 1/6/2025 at 11:15 AM, the resident indicated when he first admitted to the facility in…

  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 · D2026-01-09 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 interview and record review the facility failed to provide a substitute at lunch as requested by the resident for 1 of 1 residents reviewed for nutrition (Resident 70).Review of the clinical record of Resident 70 on 1/07/2026 11:55 a.m., indicated the resident's diagnoses included, but were not limited to, vascular dementia, cerebral vascular disease, major depression disorder, adult failure to thrive and hypertension. The food preference assessment for Resident 70, dated 11/21/25, indicated the resident typically consumed salads. The resident requested salads for breakfast, lunch and dinner. The resident also liked fruit, chocolate milk, eggs, cheese, potatoes, fish, grilled cheese and peanut butter and jelly sandwiches. The Registered Dietician assessment for Resident 70, dated 11/26/25, indicated the resident Body Mass Index (BMI) was 15.9 indicating the resident was underweight. The resident did not have signs of of a swallowing disorder, oral/mouth problems and did not utilize adaptive eating…

  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 · Ecited before2024-12-10 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide weekend activities, as preferred, for 2 of 4 residents reviewed for activities (Residents 13 and 71). This had the potential to affect 19 of 19 residents on the Reflections 1 Unit of the facility. Findings include: 1. The clinical record for Resident 71 was reviewed on 12/4/24 at 12:30 p.m. Her diagnoses included, but were not limited to, dementia. She resided on the Reflections 1 Unit, a memory care unit, of the facility. The activities care plan, revised 3/11/24, indicated she had a cognitive deficit that required supervised activities with staff. She enjoyed painting, coloring, small group events, and bingo. A goal was to show engagement in activities of interest through the next review. Two of the interventions were to encourage attendance to entertainment programs, large and small group activities, volunteer demonstrations, and religious activities and to invite her to scheduled activities. 2. The clinical record for Resident 13 was reviewed on 12/4/24 at 12:30 p.m. His diagnoses included, but were not limited…

  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 · Dcited before2024-12-10 · 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

  Based on interview and record review, the facility failed to include a resident and a resident's representative in their care plan conferences for 2 of 5 residents reviewed for care planning. (Residents 13 and 104) Findings include: 1. The clinical record for Resident 13 was reviewed on 12/4/24 at 12:30 p.m. His diagnoses included, but were not limited to, heart failure. The 7/8/24 Annual, 10/2/24 Quarterly, and 10/24/24 Quarterly Minimum Data Set (MDS) assessments indicated he was cognitively intact. There was no information in the clinical record that indicated a care plan conference was held in coordination with any of the three above referenced MDS assessments. An interview was conducted with Resident 13 in his room on 12/4/24 at 12:42 p.m. He indicated he hadn't been invited to a care plan conference in the facility, but he would like to attend. An interview was conducted with Social Services Director (SSD) 2 on 12/6/24 at 10:45 a.m. She indicated she was responsible for coordinating care plan meetings for the residents on the unit. They were conducted every three months,…

  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 · Dcited before2024-12-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to ensure Resident 36's indwelling urinary catheter remained free of contact with the floor while in bed for 1 of 2 residents reviewed for indwelling urinary catheters. Findings include: The clinical record for Resident 36 was reviewed on 12/4/2024 at 1:45 p.m. The medical diagnoses included obstructive uropathy. A Quarterly Minimum Data Set assessment, dated 11/22/2024, indicated Resident 36 utilized an indwelling urinary catheter, dependent on staff assistance for toileting needs, and dependent on staff for transferring regarding activities of daily living. During an observation on 12/4/2024 at 12:45 p.m., Resident 36 was in bed with his urinary catheter drainage bag laying on the floor. During an interview on 12/4/2024 at 1:30 p.m., Certified Nursing Assistant (CNA) 7 indicated urinary catheter drainage bags should remain free of contact with the ground. During an observation on 12/10/2024 at 10:45 a.m., Resident 36 was in bed with his urinary catheter drainage bag laying on the floor. A policy entitled,…

  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 · D2024-09-05 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure misappropriation of residents' medication did not occur for 1 of 3 residents reviewed for medication administration. (Resident C) Findings include: The clinical record for Resident C was reviewed on 9/5/24 at 2:00 p.m. The diagnoses included, but were not limited to, hemiplegia and hemiparesis following cerebrovascular disease. An incident report, dated 7/24/24, indicated a discrepancy in the narcotic sign off sheet for Resident C that involved Registered Nurse (RN) 2. A physician order, dated 7/16/24, indicated to administer hydrocodone-acetaminophen (narcotic pain relief medication) 10-325 milligrams (mg) every four hours, scheduled, for pain. A controlled drug administration record, dated July 2024, for Resident C's hydrocodone-acetaminophen 10-325 mg tablet indicated the following discrepancies signed off by RN 2: - 7/17/24 at 8:00 a.m., the amount went from 79 to 77 tablets, - 7/19/24 in the morning., the amount went from 68 to 66 tablets, & - 7/22/24 at 8:00 a.m., the amount went from 48 to 46 tablets. A…

  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 · Past Non-Compliance
• Potential for harm · D2024-06-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 interview and record review the facility failed to provide medications as ordered by the physician for 1 of 3 residents reviewed for medication administration. (Resident C) Finding include: During an interview with Resident C's family, on 6/24/24 at 12:35 p.m., indicated the resident did not receive all his medications as ordered by the physician when admitted to the facility on [DATE]. The resident was discharged on 11/24/23. The clinical record of Resident C was reviewed on 6/25/24 at 12:40 p.m. The diagnoses included, but were not limited to, diabetes, severe protein calorie malnutrition, convulsions, sepsis, major depressive disorder, stiff man syndrome, hypotension, and pulmonary nodule. Review of the physician orders for Resident C, dated 11/23/24, indicated the resident was ordered and did not receive the following medications: tamsulosin 0.4 milligrams (mg) every morning (urinary retention medication), mirtazapine 15 mg at bedtime for depression, amoxicillin 500 mg; two capsules in the morning…

  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

“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.

Part of a chain

This home belongs to COMMUNICARE HEALTH — 110 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 28 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $4.4M paid to related parties — landlords or management companies under common ownership — equal to about 28% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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 IN