GREENFIELD MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Greenfield Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

GREENFIELD MANOR
615 SE KENT
GREENFIELD, IA 50849
(641) 743-6131

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

  • Residents: 27
  • Certified Beds: 50

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Creston | Anita | Winterset

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Greenfield Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-105.0%
Total Percent:5.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.2%
ADL Index Range: 6-1042.1%
ADL Index Range: 0-534.7%
Total Percent:95.0%
 

Rating Details For Greenfield Manor

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours54 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours31 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 58 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 37 Minutes
Total Nurse Hours4 Hours and 23 Minutes4 Hours

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Iowa are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight7%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious20%16%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-2%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-5%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%23%
Percent of Short-Stay Residents Who Have Pressure Sores12%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/17/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/01/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/12/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/01/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/18/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/23/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/10/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/03/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/23/2009
  • Correction Date: 03/03/2009

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/19/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Greenfield Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/23/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/09/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/05/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/10/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/10/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/23/2011
  • Correction Date: 03/11/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/05/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/23/2011
  • Correction Date: 03/03/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/21/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/26/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/21/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/10/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/26/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/13/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/19/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/02/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/05/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011