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Ams Memorial-Greene
108 South High Street, Greene, IA 50636 (opens Google Maps) · Butler County · (641) 823-4531· 31 certified beds · avg — residents/day · certified since Nov 1, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Feb 21, 2022
0
Serious findings on record
$0
Fines, last 3 years
—
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
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. F-0727
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. F-0885
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. F-0606
View all 16 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Feb 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0885 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0606 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0678 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Feb 21, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Mar 5, 2020 | E · Potential for more than minimal harm, pattern | 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. · F-0809 |
| Mar 5, 2020 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0607 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 5, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 21, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 21, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0881 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
All citationsSerious citations (G–L)
2019
All citations: 2
Serious citations (G–L): 0
2020
All citations: 6
Serious citations (G–L): 0
2022
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2020 | 6 | 0 | E |
| 2022 | 8 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: Not reported
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: Not reported
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: Not reported
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | — | 4.37 | 3.95 | — |
| Registered Nurse hours | — | 0.85 | 0.69 | — |
| Weekend total nurse staffing | — | 3.86 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | — | 0.51 | 0.48 | — |
| Total nursing staff turnover (%) | — | 44.0 | 45.8 | — |
| RN turnover (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Ams Memorial-Greene. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in Butler, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Maple Manor Village — Aplington, IA · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165356.