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Greene County Medical Center

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About Greene County Medical Center

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 1, 1974 (42 years)
Capacity85
Residents46
Percent Occupied54%
Program ParticipationMedicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Greene County Medical Center

Greene County Medical Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Iowa Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

May 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionPrevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residentís clinical condition.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
BSomePotential for Minimal HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.

April 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

March 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
BSomePotential for Minimal HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

January 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

December 19, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Greene County Medical Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 25min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
35min
45min
ReportedExpected
RN
3hr 20min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.4%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
84.1%
88.9%
92.9%
95.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
39.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.1%
8.9%
7.1%
17.4%
Q1 2015Q2 2015Q3 2015IA
Received an Antipsychotic Medication
26.2%
14.6%
13.5%
16.4%
Q1 2015Q2 2015Q3 2015IA
Need for Help with ADLs has Increased
4.6%
20.8%
6.4%
8.8%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
11.4%
15.6%
7.1%
6.8%
Q1 2015Q2 2015Q3 2015IA
Lose Too Much Weight
2.9%
2.8%
9.4%
3.9%
Q1 2015Q2 2015Q3 2015IA
High Risk Residents With Pressure Ulcers
4.7%
10.3%
13.2%
5.9%
Q1 2015Q2 2015Q3 2015IA
Have Depressive Symptoms
4.5%
11.1%
2.4%
6.2%
Q1 2015Q2 2015Q3 2015IA
With a Urinary Tract Infection
2.3%
0.0%
2.4%
3.6%
Q1 2015Q2 2015Q3 2015IA
Experiencing One or More Falls with Major Injury
4.9%
4.7%
2.7%
4.1%
Q1 2015Q2 2015Q3 2015IA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.5%
Q1 2015Q2 2015Q3 2015IA
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
86.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
84.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
17.7%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.7%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.7%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened