Dade County Nursing Home District: Nursing Home OverviewSkip to content

Dade County Nursing Home District

  • Nursing Home

Updated Nov 1, 2022 by Nick Lata

Historical Rating
Grade: C
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B+Feb 19: B+May 19: DJun 19: DJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: CSep 20: B-Oct 20: FNov 20: FJan 21: DFeb 21: DMar 21: DApr 21: DMay 21: CJun 21: CJul 21: CAug 21: CSep 21: DOct 21: A-Nov 21: B+Jan 22: DFeb 22: DMar 22: DApr 22: DMay 22: DJun 22: DAug 22: CSep 22: COct 22: CNov 22: C
See Rating Overview
Dade County Nursing Home District's website

400 Broad Street,
Greenfield MO 65661

(417) 637-5315

35.78% estimated occupancy 1

Dade County Nursing Home District is a senior living facility in Greenfield, Missouri. This city has a total of 2,562 people. This turns out to be a respectable facility, with an overall grade of C. Based on our assessment, this nursing home ought to be a solid choice for quite a few people. One of the highlights of this nursing home's report card is its impressive inspection score, which is addressed in the next section.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • Government - County
  • Offers Hospice
  • Offers Post-Acute Care 
  • Offers Respite Care
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Speech Therapy
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Tracheotomy Care
  • Mental Health
  • Physical Therapy
  • Nutritional Counseling
  • Recreational Therapy
  • Pain Management

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Facility Inspections

Grade: A-minus

We want to point out that this facility really outperformed its overall score in the area of inspections. In fact, it received a nearly flawless government inspection report this year. As a result, it received one of our best grades in that area with a grade of A-. Inspection grades are tied to several pieces of information located in the a nursing home's recent inspection reports. Facilities that excel in this area tend to have few deficiencies on those reports. Most importantly, these facilities generally do not have any severe deficiencies which are associated with risks to patient safety. Although this facility had a few deficiencies on its inspection report, none were major deficiencies based on CMS' scale. A couple of minor deficiencies should not lead you to cross a nursing home off your list.

Long-term Care Quality

Grade: B-minus

This nursing home's second most favorable category turned out to be long-term care. In that category, we awarded this nursing home a B-. Long-term care grades are often used to judge a facility's performance as a traditional nursing home, as opposed to focusing more on the skilled nursing services provided by a skilled nursing facility. On top of considering the amount of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This facility provided the vaccine to 100 percent of its residents. Lastly, this facility was also able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

Short-term Care Quality

Grade: D

This facility's second least favorable category is short-term care, where it earned a grade of just D in that area. This is a relatively poor score. Short-term care grades are typically used to grade a facility's performance with rehabilitation In order to offer highly graded rehabilitation services, facilities generally must offer higher levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other highly skilled individuals. With its abysmal grade in this area, we were not stunned to find this nursing home offered far fewer registered nurse and physical therapist hours per patient than most facilities. Finally, we looked at the number of patients who were able to return to the community from this facility. This wasn't a strength for this facility. We found that just 0 percent of this nursing home's patients returned home. At most facilities, around half of their residents are able to return home so this is well below average.

Nurse Quality

Grade: D

The last category we scored is nursing, which is a low point for this nursing home. We awarded this nursing home a D for nursing. The nursing score consists of many data points, most of which are tied to quantities of nurse staffing. This nursing home averaged a meager 0.3 hours of nursing care per resident on a daily basis. Lastly, we also assessed some nursing quality-based metrics in computing our nursing grades. This place fared well when it comes to avoiding major falls and pressure ulcers.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18May 23

Dade County Nursing Home District Quality Metrics

Minimizes Pressure Ulcers

Grade: B-minus

In Dade County Nursing Home District, 8.77% of Patients had Pressure Ulcers

This is the percent of patients who have had a pressure ulcer. Pressure ulcers are considered to be an indicator of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by residents not being moved frequently enough.

Minimizes Serious Falls

Grade: C

In Dade County Nursing Home District, 5.23% of Patients had Serious Falls

This tells you the percent of residents who suffered from a fall resulting in severe injury.

Minimizes Urinary Tract Infections

Grade: F

In Dade County Nursing Home District, 7.38% of Patients had UTIs

This is the percentage of patients who have had a urinary tract infection. Urinary tract infections are often the result of lower quality nursing care. Better hygiene protocols can minimize the percentage of residents in a nursing home who suffer from UTI's. Keep in mind that this datapoint is affected by by the fact that facilities have incongruent reporting standards for infections.

Appropriately Uses Anti-Psychotic Medication

Grade: D

In Dade County Nursing Home District, 23.76% of Patients use Anti-Psychotic Medication

This tells you the percentage of patients who were given antipsychotic drugs. While antipsychotic medications may be vital to many residents, it is important to make sure these drugs are being used appropriately. In limited situations, increased usage of these drugs may mean that a nursing home is using these drugs to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Dade County Nursing Home District, 45.11% of Patients use Anti-Anxiety Medication

This figure indicates the percent of long-term care residents taking antianxiety medications.

Managing Depression Among Residents

Grade: C

In Dade County Nursing Home District, 8.72% of Patients

This tells you the percent of patients demonstrating signs of depression. Higher levels of depression could indicate a lower level of care.

Appropriate Vaccine Usage

Grade: B

In Dade County Nursing Home District, 96.99% of Patients

This datapoint measures the percentage of long-term residents who were given the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient health.

Residents Maintain Autonomy

Grade: A-plus

In Dade County Nursing Home District, 4.72% of Patients

This tells you the percentage of residents that needed additional assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living could be a sign of deterioration of a resident's well-being.

Ability to Keep Residents Mobile

Grade: F

In Dade County Nursing Home District, 5.15% of Residents

This is the percentage of residents that remained mobile levels over time. Preserving mobility is usually a great sign for residents' health.


Grade: A-minus

In Dade County Nursing Home District, 0.01 Hospitalizations per 1,000 resident days

This is a measure of the number of hospitalizations per 1,000 days of patient care. Staying out of the hospital is critical to preserving the physical well-being of residents.

Short-term Care: Rehospitalizations

Grade: A-plus

In Dade County Nursing Home District, 5.15% of Residents Rehospitalized

This is the number of times residents are rehospitalized per 1,000 days of short-term patient care. There is usually a correlation between having fewer hospitalizations and the quality of rehabilitation services.

Short-term Care: Facilitates Functional Improvement

Grade: B-plus

In Dade County Nursing Home District, 79.47% of Resident

This metric measures the percentage of short-term care patients that experienced functional improvements.