With an address in Greenfield, Iowa, Greenfield Rehabilitation & Health Care Center is the sole option we were able to find in the city. We awarded this facility an overall grade of B+. A score of this caliber requires above average scores in most areas. This facility definitely has plenty of good features. This place's impressive profile was highlighted by its inspection reports, which we will address in the next paragraph.
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Greenfield Rehabilitation & Health Care Center
- Nursing Home
- Assisted Living
Updated Nov 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Meal Delivery
- Home Making
- Speech Therapy
- IV Antibiotic Therapy
- Wound Care
- Occupational Therapy
- Tracheotomy Care
- Peritoneal Dialysis
- Diabetes Management
- Physical Therapy
- Respiratory Therapy
- Recreational Therapy
- Pain Management
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Registered Staff Hours
To go along with its strong overall grade, we awarded this nursing home a grade of A for our inspections rating. Inspection scores account for several factors included in a facility's inspection reports. One key criteria we consider is the quantity and severity of deficiencies. Facilities with better grades in this area usually have very few severe deficiencies. While this place had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This tells you that CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. The fact that none of the deficiencies were severe made us feel better about this inspection report.
Among its many impressive scores, this nursing home received an excellent nursing grade. We gave it an B+ in that category. Our nursing grade is mostly based on a nursing home's level of nurse staffing. This particular nursing home provided 0.3 hours of nursing care per resident per day. Finally, we also looked at several nursing quality measures and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by offering better nursing care, such as employing a system of moving residents at least once a day.
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Long-term Care Quality
Turning to our next area, this nursing home also earned a grade of B for its long-term care rating. This is an above average score in this area. Facilities that excel in this category typically provide patients with closer supervision and stay on top of routine healthcare services. After looking at the quantity of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination data. This nursing home vaccinated 100 percent of its residents against pneumonia, which is much higher than the average nursing home. Lastly, this place was able to limit hospitalizations. It had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.
Short-term Care Quality
The next category we looked at is short-term care. We awarded this nursing home a solid grade in that category, with a grade of B-. Although this is not on par with some of this nursing home's other scores, it is still nothing to be ashamed of. In the category of short-term care, we strive to evaluate measures of a nursing home's rehabilitation services. We assess the nursing home's skilled nursing services, including the ones performed by registered nurses and physical therapists. Unfortunately, it does not look like this facility provided registered nurse or physical therapist staffing data. Lastly, we assessed the percentage of patients who were able to return to the community from this nursing home. We found that 0 percent of this facility's patients returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.
Rating Over Time
Compared to national and state averages across all facilities.
Greenfield Rehabilitation & Health Care Center Quality Metrics
Minimizes Pressure Ulcers
In Greenfield Rehabilitation & Health Care Center, 0.98% of Patients had Pressure Ulcers
This metric measures the percent of long-term patients who have pressure ulcers. Many experts believe that pressure ulcers are a reliable indicator of the quality of nursing care a nursing home provides.
Minimizes Serious Falls
In Greenfield Rehabilitation & Health Care Center, 0% 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
In Greenfield Rehabilitation & Health Care Center, 0% of Patients had UTIs
This tells you the percentage of patients that have had a urinary tract infection. These infections may be associated with poorer hygiene.
Appropriately Uses Anti-Psychotic Medication
In Greenfield Rehabilitation & Health Care Center, 13.38% of Patients use Anti-Psychotic Medication
This measures the percent of long-term patients which are administered antipsychotic drugs. Excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents in situations where such medications are not medically required. However, some facilities need to rely more on these medications due to having more patients suffering from cognitive disorders.
Appropriately Uses Anti-Anxiety Medication
In Greenfield Rehabilitation & Health Care Center, 24.59% of Patients use Anti-Anxiety Medication
This datapoint measures the percent of long-term stay patients receiving antianxiety medications.
Managing Depression Among Residents
In Greenfield Rehabilitation & Health Care Center, 2.82% of Patients
This is the percent of patients showing signs of depression.
Appropriate Vaccine Usage
In Greenfield Rehabilitation & Health Care Center, 99.35% of Patients
This is a measure of the percent of long-term stay patients that were vaccinated against pneumonia and flu.
Residents Maintain Autonomy
In Greenfield Rehabilitation & Health Care Center, 16.67% of Patients
This tells you the percentage of residents that required additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could indicate erosion of a patient's well-being.
Ability to Keep Residents Mobile
In Greenfield Rehabilitation & Health Care Center, 10.19% of Residents
Measures the percent of long-term stay residents that maintained mobility. Many would argue that mobility is critical to residents' mental and physical well-being.
In Greenfield Rehabilitation & Health Care Center, 0.01 Hospitalizations per 1,000 resident days
This metric tracks the number of times residents are hospitalized per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Greenfield Rehabilitation & Health Care Center, 10.19% of Residents Rehospitalized
This tells you the number of rehospitalizations per 1,000 days of short-term care.
Short-term Care: Facilitates Functional Improvement
In Greenfield Rehabilitation & Health Care Center, 89.35% of Resident
This tells you the percentage of short-term patients that saw functional improvements, such as with activities of daily living. Higher levels of independence with activities of daily living generally correlates with superior rehabilitation services.
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