Greene County Medical Center
1000 West Lincolnway, Jefferson IA 50129 · (515) 386-2114 · 49.52% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Greene County Medical Center is one of just two available facilities located in Jefferson, Iowa. We awarded this facility an overall grade of B+. A score in this range requires strong scores in most areas. Based on our assessment, this place ought to meet the needs of most people. This place's strong report card was highlighted by its nursing grade, which we will address in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 85 Beds
CCRC :
Government - County
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
In addition to being a quality nursing home overall, this facility really excelled in the area of nursing, where it received a grade of A. We scrutinized the levels of nurses employed by the nursing home, in addition to the quantity of time the nurses spent with residents, in calculating our score in this category. This place boasts a really impressive 4.7 hours of nursing care per patient on a daily basis, of which a significant percentage was provided by registered nurses. This is one of the more highly trained levels of nurses. This is one of the higher totals of nursing hours we found. On top of looking at levels of nursing care, we also looked at a few quality-based metrics in determining our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these statistics as reliable measures of the quality of nursing care offered, since better care tends to reduce these problems.
Short-term Care Quality
This facility was given strong scores in the area of short-term care as well. Consequently, we gave it one of our best scores in that area with a score of A-. Short-term care ratings are based in part on a facility's quantity of skilled nursing services. This includes a broad spectrum of nursing services, spanning from registered nurses to physical and speech therapists, as well as other forms of therapy. One reason for this place's favorable score in this category is it offers more care from registered nurses to its patients than the average facility. The last statistic we assessed in this category is the number of residents who were able to leave the facility and return home. We discovered that 0 percent of this facility's residents were able to return home.
Facility Inspections
In addition, this facility also performed well in our inspection category, which is based on the nursing home's recent inspection reports. In fact, we gave it a grade of B+ for that category, which is among our best scores. These inspection ratings weigh several factors, including deficiencies, substantiated complaints and federal fines. You can find more information about each of these issues by obtaining copies of nursing homes' inspection reports. Fortunately, although this nursing home had some minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are ones found in categories G, H, I, J, K and L. This means CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. We should note that deficiency-free inspection reports are uncommon in the industry.
Long-term Care Quality
The last category we graded was long-term care, in which this facility received a grade of C. While this turned out to be its lowest category score, this is nevertheless not a terrible score. For residents looking for a permanent place to live as opposed to rehabilitation, long-term care grades are very important. This nursing home's vaccination statistics were a bit weaker than a few of its other data points in this category, such as its nursing hours. It administered the pneumonia vaccine to just 89.54248 percent of its patients. We would love to see some improvement in this area in the future. On a more positive note, this nursing home was able to limit hospitalizations. With just 1.39 hospitalizations per 1,000 long-term resident days, this nursing home had fewer hospitalizations than many nursing homes.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Greene County Medical Center Quality Metrics
Minimizes Pressure Ulcers
This statistic is an indication of the percent of long-term stay patients which have new or worsened pressure ulcers. We find that pressure ulcers are a solid barometer of the quality of nursing care a facility provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint indicates the percentage of long-term patients who sustained a fall which caused serious injury. This is one of the statistics we use in computing nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents that sustained a urinary tract infection. Urinary tract infections are considered by many in the nursing home industry to be a measure of the quality of nursing care . UTI's are often caused by lower quality nursing care. Nevertheless, this datapoint can also be skewed for certain nursing homes due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint is a measure of the percent of long-term stay patients who are prescribed antipsychotic drugs. High levels of antipsychotic drug use may indicate that a nursing home is using these medications to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely on these drugs due to having more residents suffering from cognitive disorders.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients prescribed antianxiety drugs. These drugs are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of residents who are exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of residents who received the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents who needed increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may be a sign of deterioration of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of residents that were able to retain mobility over time. Retaining mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of rehospitalizations per 1,000 days of short-term care. Avoiding rehospitalizations during rehabilitation is critical to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better