Greenfield Care Center of Fillmore, LLC

Name: Greenfield Care Center of Fillmore, LLC
Address: 118 B Street, Fillmore, CA, 93015, US
Telephone: 8055245250

118 B Street, Fillmore, CA 93015 · Ventura County · 99 certified beds · avg 63 residents/day · certified since May 20, 1977

Part of chain: EVA CARE GROUP (9 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

$8,018

Fines, last 3 years

4.15

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Mar 13, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 17, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (35)

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
Mar 20, 2026	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 20, 2026	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Mar 20, 2026	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.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 20, 2026	D · Potential for harm, one-off	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 20, 2026	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 7, 2025	E · Potential for harm, repeated	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.
Mar 7, 2025	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 7, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 7, 2025	D · Potential for harm, one-off	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 7, 2025	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.
Feb 14, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Nov 25, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
May 22, 2024	E · Potential for harm, repeated	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. · from a complaint
May 14, 2024	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. · from a complaint
Apr 30, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Apr 30, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 29, 2024	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. · from a complaint
Mar 13, 2024	▲ G · Actual 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. · from a complaint
Nov 16, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 16, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Nov 16, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Nov 16, 2023	D · Potential for harm, one-off	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.
Oct 24, 2023	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. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	E
2024	7	1	G ▲
2025	12	0	E
2026	9	0	D

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)

1 fine totaling $8,018.

Date	Type	Amount / length
Mar 13, 2024	Fine	$8,018

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

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.15	4.31	3.95	top 48% in California; top 34% in the U.S.
Registered Nurse hours	0.82	0.61	0.69	top 17% in California; top 26% in the U.S.
Weekend total nurse staffing	3.72	3.90	3.50	bottom 48% in California; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.83	0.51	0.48	top 11% in California; top 10% in the U.S.
Total nursing staff turnover (%)	33.7	36.7	45.8	top 42% in California; top 21% in the U.S.
RN turnover (%)	20.0	38.1	42.9	top 19% in California; top 13% in the U.S.

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 5.09, RN 1.00, weekend 4.56. Staffing rating: 5/5.

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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chen, Jenq	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2013
Chen, Tze-Yun	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2013
Buckingham, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Buckingham, Robert	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2021
Chen, Jenq	Individual	Trustee of the SNF	NOT APPLICABLE	07/01/2013
Lyles, William	Individual	Operational/Managerial Control	NOT APPLICABLE	03/24/2025
Lyles, William	Individual	ADP of the SNF	NOT APPLICABLE	03/24/2025
Padama, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/02/2017

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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	Flags
Santa Paula Post Acute Center	9.6 mi	Santa Paula, CA	★★★★☆	4/5
Oakview Skilled Nursing	11.6 mi	Thousand Oaks, CA	★★★★★	5/5
St. John's Hospital Camarillo D/P SNF	12.0 mi	Camarillo, CA	★★★★★	5/5
Alta Healthcare Center of Camarillo	12.2 mi	Camarillo, CA	★★★★☆	4/5
Thousand Oaks Post Acute, LLC	12.3 mi	Thousand Oaks, CA	★★★★☆	4/5
Camarillo Healthcare Center	14.4 mi	Camarillo, CA	★★★★★	4/5
Mary Health of the Sick Convalescent & Nursing Hos	14.9 mi	Newbury Park, CA	★★★★★	4/5
Simi Healthcare Center	15.6 mi	Simi Valley, CA	★★★☆☆	2/5
Sherwood Oaks Post Acute	16.5 mi	Thousand Oaks, CA	★★★☆☆	2/5	abuse
Ojai Health & Rehabilitation	18.7 mi	Ojai, CA	★★★☆☆	3/5
Glenwood Care Center	19.4 mi	Oxnard, CA	★★★★★	5/5
Coastal View Healthcare Center	19.5 mi	Ventura, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Fillmore →

Facility data as of CMS processing date 2026-08-01. CCN 555066.

The Care File

Visit checklist — Greenfield Care Center of Fillmore, LLC

118 B Street, Fillmore, CA 93015 · 8055245250

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $8,018

Most serious findings on record:

▲ Mar 13, 2024 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 555066 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)