Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenfield Healthcare Center during CMS and state inspections, most recent first.
The facility failed to provide weekend activities for residents on the Reflections 1 Unit, affecting all 19 residents. A resident with dementia and another who is cognitively intact expressed dissatisfaction with the lack of activities, noting that only monthly church services were offered on weekends. The activity calendar showed minimal weekend activities, and staff confirmed that activity packets were not consistently distributed. The facility was aware of the issue and working to hire staff for weekend activities.
The facility failed to include two residents and their representatives in care plan conferences. A resident with heart failure was not invited to meetings corresponding with his MDS assessments, and there was no evidence of his participation. Another resident with severe cognitive impairment also lacked documented care plan meetings, and their family member reported not being invited. The absence of proper documentation and signatures indicates a failure to adhere to the facility's policy of encouraging participation.
A facility failed to maintain proper catheter care for a resident with obstructive uropathy, as the urinary catheter drainage bag was observed on the floor on two occasions. The resident relies on staff for toileting and transferring. A CNA confirmed that catheter bags should not touch the ground, aligning with the facility's policy.
A resident's hydrocodone-acetaminophen medication was misappropriated by an RN, who admitted to taking extra tablets for personal use. The discrepancies were discovered by a QMA and reported to the Director of Nursing. Despite the misappropriation, the resident did not miss any doses of their prescribed medication.
A resident did not receive prescribed medications upon admission, despite their availability in the facility's Emergency Drug Kit (EDK). The resident, with multiple serious health conditions, was not administered medications such as tamsulosin, mirtazapine, and others. The Regional Director confirmed the medications were available, and the floor nurse was responsible for their administration, as per the facility's policy for emergency pharmacy services.
Lack of Weekend Activities for Residents
Penalty
Summary
The facility failed to provide weekend activities for residents on the Reflections 1 Unit, which affected all 19 residents on the unit. Resident 71, who has dementia and resides on the memory care unit, had a care plan that included supervised activities such as painting, coloring, and bingo. However, the facility did not offer these activities on weekends. Similarly, Resident 13, who is cognitively intact and resides in the same unit, expressed dissatisfaction with the lack of weekend activities, noting that the facility only offered church services once a month on a weekend. The activity calendar for December 2024 showed minimal scheduled activities on weekends, with some days having no activities at all. The only activities listed were Weekend Worksheet Packets, which included word searches and coloring pages. However, Resident 13 reported not receiving these packets, and staff interviews confirmed that the packets were not consistently distributed. The Qualified Medication Aide and Certified Nursing Assistants working on the unit indicated that the facility needed more weekend activities and that the activity staff were only present during weekdays. Interviews with the Unit Manager and the new Activity Director revealed that the facility was aware of the lack of weekend activities and was in the process of addressing the issue. The Activity Director, who had recently started, was informed that there were no weekend activities and was working on hiring staff for weekend and evening activities. The Executive Director also confirmed efforts to hire someone for weekend activities. The facility's Activities Program policy stated that activities should be scheduled daily, including weekends, to meet residents' needs, but this was not being implemented effectively.
Failure to Include Residents and Representatives in Care Plan Conferences
Penalty
Summary
The facility failed to include two residents and their representatives in care plan conferences, as required. Resident 13, who was cognitively intact and diagnosed with heart failure, was not invited to care plan meetings corresponding with his MDS assessments in July and October 2024. Despite the Social Services Director (SSD) claiming that meetings were held and documented, there was no evidence in the electronic health record (EHR) or any signed documentation by Resident 13. The resident himself confirmed he had not attended any care plan meetings and would have signed if he had been present. Similarly, Resident 104, who was severely cognitively impaired with diagnoses including Parkinson's disease and dementia, also did not have documented care plan meetings in line with his MDS assessments. Family Member 3, who was supposed to be involved in the care planning, reported not being invited to any meetings, despite SSD 2's assertion that invitations were extended. The lack of documentation and signatures further supports the absence of proper care plan meetings, contrary to the facility's policy of encouraging resident and representative participation.
Failure to Maintain Catheter Care Standards
Penalty
Summary
The facility failed to ensure proper care for a resident with an indwelling urinary catheter. The resident, who has a medical diagnosis of obstructive uropathy, was observed on two separate occasions with the urinary catheter drainage bag in contact with the floor while in bed. The resident is dependent on staff assistance for toileting and transferring. A Certified Nursing Assistant confirmed that urinary catheter drainage bags should not be in contact with the ground. The facility's policy on catheter care, provided by the Executive Director, also indicated that the collection bag should not be on the floor.
Misappropriation of Resident's Medication by RN
Penalty
Summary
The facility failed to prevent the misappropriation of a resident's medication, specifically hydrocodone-acetaminophen, by a registered nurse (RN). The clinical record for Resident C, who had diagnoses including hemiplegia and hemiparesis following cerebrovascular disease, showed discrepancies in the narcotic sign-off sheet. These discrepancies were noted on multiple occasions, where the count of tablets decreased by two at each instance. A Qualified Medication Aide (QMA) discovered the discrepancies and reported them to the Director of Nursing. Upon investigation, it was revealed that RN 2 admitted to taking two tablets of the narcotic pain medication, administering one to Resident C and keeping one for himself. This occurred on five to six occasions, although Resident C did not go without his prescribed medication. The Executive Director confirmed that the discrepancies were reported, and the RN admitted to the misappropriation of the medication.
Failure to Administer Prescribed Medications from Emergency Drug Kit
Penalty
Summary
The facility failed to provide medications as ordered by the physician for a resident, identified as Resident C, during their stay. The resident's family reported that upon admission, the resident did not receive all prescribed medications. The clinical record review revealed that Resident C had multiple diagnoses, including diabetes, severe protein calorie malnutrition, convulsions, sepsis, major depressive disorder, stiff man syndrome, hypotension, and a pulmonary nodule. Despite these conditions, the resident did not receive several critical medications, including tamsulosin, mirtazapine, amoxicillin, midodrine, pantoprazole sodium, and gabapentin, as ordered on 11/23/24. An interview with the Regional Director of Clinical Operations confirmed that the medications were available in the facility's Emergency Drug Kit (EDK) but were not administered to Resident C. The responsibility to obtain and administer these medications from the EDK fell on the floor nurse who admitted the resident. The facility's policy indicated that emergency pharmacy services were available 24 hours a day, and the emergency medication supply was intended to meet urgent needs. However, the failure to utilize the EDK resulted in the resident not receiving the necessary medications during their stay.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Greenfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brickyard Healthcare - Brandywine Care Center | 0.9 mi | — | 11 | 0 |
| Aperion Care Greenfield | 1.2 mi | — | 25 | 0 |
| Springhurst Health Campus | 1.7 mi | — | 1 | 1 |
| Majestic Care Of Mccordsville | 9.8 mi | — | 0 | 0 |
| Morristown Manor | 10.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.