What is Ams Memorial-Greene's Medicare star rating?

CMS rates Ams Memorial-Greene 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and no for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Ams Memorial-Greene get at its last inspection?

5 health deficiencies at the standard inspection on July 16, 2026. The Iowa average is 6.5.

Has Ams Memorial-Greene been fined?

CMS lists no fines in the last three years.

Does Ams Memorial-Greene accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Ams Memorial-Greene?

CMS lists 11 owners and managers. Legal business name: AMS MEMORIAL-GREENE LLC.

Ams Memorial-Greene: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 16, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 19 health citations since March 2020 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

603/20

802/22

507/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

July 16, 2026Standard inspection · 5 citations

F

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 30, 2026

Inspectors wroteBased on clinical record review, staff interview, policy review, and CDC guidelines review the facility failed to provide COVID-19 education and vaccinations for 5 of 5 residents (residents #1, #2, #3, #4 and #5) reviewed for immunizations. Additionally, the facility failed to track the immunization status of their staff. The facility reported a census of 5 residents.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2026

Inspectors wroteBased on clinical clinical record review, staff interviews, and facility policy review the facility failed to complete a baseline care plan for 1 out of 5 (Resident #5) residents reviewed for baseline cares. The facility reported a census of 5.
D

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

F807 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026

Inspectors wroteBased on observation and interview, the facility failed to ensure staff offered or served water to residents with or during meals for 2 of 3 meals observed. The facility reported a census of 5 residents.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026

Inspectors wroteBased on observation, staff interview, and policy review the facility failed to change gloves between touching surfaces and food. Additionally, the staff failed to adequately wash their hands during the meal service. The facility reported a census of 5 residents.
D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2026

Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to screen, educate, and offer the pneumonia vaccine to 1 of 5 residents (Resident #4) sampled for vaccines. The facility reported a census of 5 residents.

February 21, 2022Standard inspection · 8 citations

F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on nursing schedule reviews, and staff interviews, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week. Review of nurse coverage schedules revealed 3 days in a 4 week period were without RN coverage. The facility reported a census of 22.
F

Report COVID19 data to residents and families.

F885 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on facility email correspondence with families, staff interviews, and policy review the facility failed to document notification to residents. The facility also notify resident representatives and families by 5:00 PM the next calendar day following the occurrence of a single confirmed novel Coronavirus 2019 (COVID-19) staff or resident positive for 7 of 8 positive cases in January 2022. The facility reported a census of 22 residents.
D

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

F606 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on employee files review, staff interviews and abuse policy review, the facility failed to complete a background check for 1 of 5 employees (Staff I) prior to hire. The facility reported a census of 22 residents.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2022

Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to develop and implement a comprehensive person-centered care plan as directed by the Resident Assessment Instrument (RAI) manual and ongoing as needed with resident changes for 2 of 12 residents reviewed (Resident #20 and #18). The facility reported a census of 22 residents.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on observations, clinical record review, facility policy review, and staff interview, the facility failed to review and revise care plans for 2 out of 12 residents reviewed (Residents #15 and #18). The facility failed to update the care plan after each episode following a fall by Resident #15 and after an antipsychotic medication was added for Resident #18. The facility reported a census of 22.
D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that properly trained personnel certified in CPR (cardiopulmonary resuscitation) were available 24 hours per day. The review of CPR certified staff along with the review of the schedules for the nursing staff revealed that the facility went without a CPR certified staff member on 2 shifts in a 4 week period. During the review of 16 residents, 3 residents clinical records indicated the resident requested CPR at the time of the survey (Resident #13, #18, and #73). The facility reported a census of 22 residents.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2022

Inspectors wroteBased on clinical record review, staff, and resident interviews, the facility failed to ensure staff provided and followed the individualized restorative programs for 2 of 3 residents reviewed (Residents #10 and #21). The facility reported a census of 22 residents.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2022

Inspectors wroteBased on clinical record review, pharmacy reviews, staff interviews, and policy review; the facility failed to ensure an As Needed (PRN) medication order for an anti-anxiety drug was limited to 14 day use. The facility failed to ensure a physician documented it was appropriate for the PRN order to be extended beyond the 14 days. The facility failed to a documented rationale in the resident's medical record to indicate the duration for the PRN order was required for 1 of 5 residents reviewed (Resident #1). The facility also failed to routinely monitor residents receiving anti-psychotic medications for potential adverse consequences for 2 of 5 residents reviewed (Resident #1 and #10). The facility reported a census of 22 residents.

March 5, 2020Standard inspection · 6 citations

E

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on resident and staff interviews and facility document review, the facility failed to ensure staff offered residents a snack at bedtime each night. The facility census was 27 residents.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on observation, facility policy review and staff interview, the facility failed to maintain a clean and sanitary kitchen and failed to serve resident food items utilizing proper hair/beard coverings. The facility census was 27 residents.
D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on observation, resident and staff interviews, the facility failed to make available information on how to make a grievance and who the grievance Official was. The facility census was 27 residents.
D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on personnel file review, facility policy review and staff interview, the facility failed to provide dependent adult abuse training for one of five employees reviewed. (Staff A) The facility census was 27 residents.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on observation, clinical record review and and staff interviews, the facility failed to ensure one resident had a safe transfer as planned. (Residents #16) The facility census was 27 residents.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2020

Inspectors wroteBased on observation, clinical record review and staff interviews, the facility failed to follow proper infection control practices for one resident reviewed with a catheter. (Resident #13) The facility census was 27 residents.

Fire safety inspections

41 fire safety citations on file: 24 on July 16, 2026, 11 on February 21, 2022, 6 on March 5, 2020.

Every fire safety citation41 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · July 16, 2026 · Corrected (the home has a date of correction)
F
Conduct risk assessment and an All-Hazards approach.

E 6 · July 16, 2026 · Corrected (the home has a date of correction)
F
Address patient/client population and determine types of services needed.

E 7 · July 16, 2026 · Corrected (the home has a date of correction)
F
Develop Emergency Preparedness policies and procedures.

E 13 · July 16, 2026 · Corrected (the home has a date of correction)
F
Develop a communication plan.

E 29 · July 16, 2026 · Corrected (the home has a date of correction)
F
List the names and contact information of those in the facility.

E 30 · July 16, 2026 · Corrected (the home has a date of correction)
F
Provide primary/alternate means for communication.

E 32 · July 16, 2026 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · July 16, 2026 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · July 16, 2026 · Corrected (the home has a date of correction)
F
Have exits that are accessible at all times.

K 271 · July 16, 2026 · Corrected (the home has a date of correction)
F
Install proper backup exit lighting.

K 281 · July 16, 2026 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · July 16, 2026 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · July 16, 2026 · Corrected (the home has a date of correction)
F
Install a fire alarm system that can be heard throughout the facility.

K 341 · July 16, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 16, 2026 · Corrected (the home has a date of correction)
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.

K 346 · July 16, 2026 · Corrected (the home has a date of correction)
F
Properly provide smoke detection systems in areas open to corridors.

K 347 · July 16, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 16, 2026 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · July 16, 2026 · Corrected (the home has a date of correction)
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 16, 2026 · deficient, provider has
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · July 16, 2026 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · July 16, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 16, 2026 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · July 16, 2026 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · February 21, 2022 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 21, 2022 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · February 21, 2022 · Corrected (the home has a date of correction)
F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · February 21, 2022 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 21, 2022 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · February 21, 2022 · Corrected (the home has a date of correction)
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · February 21, 2022 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 21, 2022 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · February 21, 2022 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · February 21, 2022 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · February 21, 2022 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · March 5, 2020 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · March 5, 2020 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · March 5, 2020 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 5, 2020 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · March 5, 2020 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · March 5, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Iowa	United States
All nursing staff (RN, LPN and aides)	not reported	3.82	3.86
Registered nurses	not reported	0.74	0.69
All nursing staff on weekends	not reported	3.37	3.42
Nurse aides	not reported
Licensed practical nurses	not reported
Nursing staff turnover (share who left in a year)	not reported	44.0%	45.8%
Registered nurse turnover	not reported	42.1%	42.9%
Administrators who left	not reported

CMS note on this home's staffing data: This facility did not submit staffing data.

Owners and operators

Legal business name: AMS MEMORIAL-GREENE LLC.

Name	Role	Type	Since
Schwantes, Payton	Direct ownership interest	Individual	06/01/2025
Schwantes, Payton	Managing control - governing body	Individual	06/01/2025
Deford, Colin	Operational/managerial control	Individual	06/01/2025
Poole, Dianne	Operational/managerial control	Individual	08/23/2025
Schwantes, Payton	Operational/managerial control	Individual	06/01/2025
Tobin, Rosemary	Operational/managerial control	Individual	06/01/2025
Ams Memorial LLC	Adp of the SNF	Organization	06/01/2025
Deford, Colin	Adp of the SNF	Individual	06/01/2025
Poole, Dianne	Adp of the SNF	Individual	08/23/2025
Schwantes, Payton	Adp of the SNF	Individual	06/01/2025
Tobin, Rosemary	Adp of the SNF	Individual	06/01/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 16, 2026: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on July 16, 2026: "Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 16, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 21, 2022: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."

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Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.

Common questions

What is Ams Memorial-Greene's Medicare star rating?: CMS rates Ams Memorial-Greene 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and no for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ams Memorial-Greene get at its last inspection?: 5 health deficiencies at the standard inspection on July 16, 2026. The Iowa average is 6.5.
Has Ams Memorial-Greene been fined?: CMS lists no fines in the last three years.
Does Ams Memorial-Greene accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Ams Memorial-Greene?: CMS lists 11 owners and managers. Legal business name: AMS MEMORIAL-GREENE LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.