Ams Memorial-Greene

Name: Ams Memorial-Greene
Address: 108 South High Street, Greene, IA, 50636, US
Telephone: 6418234531

108 South High Street, Greene, IA 50636 · Butler County · 31 certified beds · avg 0 residents/day · certified since Nov 1, 1997

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 21, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 21, 2022	F · Potential for harm, facility-wide	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Feb 21, 2022	D · Potential for harm, one-off	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Feb 21, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 21, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 21, 2022	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Feb 21, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 21, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 5, 2020	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Mar 5, 2020	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 5, 2020	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 5, 2020	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 5, 2020	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 5, 2020	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 21, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 21, 2019	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 8).

Year	Citations	Worst severity that year
2019	2	D
2020	6	E
2022	8	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	4.37	3.95	—
Registered Nurse hours	0.00	0.85	0.69	—
Weekend total nurse staffing	0.00	3.86	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.51	0.48	—
Total nursing staff turnover (%)	0.0	44.0	45.8	—
RN turnover (%)	0.0	42.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Schwantes, Payton	Individual	Direct Ownership Interest	NOT APPLICABLE	06/01/2025
Ams Memorial LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2025
Deford, Colin	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Deford, Colin	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2025
Poole, Dianne	Individual	Operational/Managerial Control	NOT APPLICABLE	08/23/2025
Poole, Dianne	Individual	ADP of the SNF	NOT APPLICABLE	08/23/2025
Schwantes, Payton	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2025
Schwantes, Payton	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Schwantes, Payton	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2025
Tobin, Rosemary	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Tobin, Rosemary	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many hours a day is a registered nurse physically in the building, including weekends?"
"How do you notify residents and families about COVID-19 or other infection outbreaks in the facility?"
"How do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Rehabilitation Center of Allison	9.4 mi	Allison, IA	★★★☆☆	2/5
Clarksville Skilled Nursing & Rehab Center	10.1 mi	Clarksville, IA	★★★★☆	4/5
Chautauqua Guest Home #2	12.9 mi	Charles City, IA	★★★★★	4/5
Chautauqua Guest Home #3	13.1 mi	Charles City, IA	★★★★★	5/5
Shell Rock Senior Living	17.1 mi	Shell Rock, IA	★☆☆☆☆	1/5
Woodland Terrace	19.5 mi	Waverly, IA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Greene →

Facility data as of CMS processing date 2026-08-01. CCN 165356.

The Care File

Visit checklist — Ams Memorial-Greene

108 South High Street, Greene, IA 50636 · 6418234531

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "How do you notify residents and families about COVID-19 or other infection outbreaks in the facility?"
☐ "How do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165356 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)