Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AMS Memorial-Greene

Greene, IA · 31 certified beds · Last Life Safety survey July 16, 2026

CMS Certification Number 165356 · first certified November 1997

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

New ownershipOwnership changed June 1, 2025 (change of ownership)from MMS/GREENE HEALTHCARE LLC

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IA

41 citations — more than 100% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 24 citations; the earlier surveys on file averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 7 months from now. This facility’s last Life Safety survey was July 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 692 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 41 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 41 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	41
Median facility in IA	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 5, 2020	6
February 21, 2022	11
July 16, 2026	24

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2026-07-16
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2026-07-16
K-0324	Provide properly protected cooking facilities.	2	2026-07-16
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2026-07-16
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2026-07-16
K-0222	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.	2	2026-07-16
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-07-16
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2026-07-16

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Emergency Preparedness Deficiencies 9
Egress Deficiencies 8
Miscellaneous Deficiencies 5
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Emergency Preparedness Deficiencies	9
Egress Deficiencies	8
Miscellaneous Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	4
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 16, 2026 — 24 citations

Citations issued on July 16, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 23, 2026)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 23, 2026)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (February 23, 2026)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (February 23, 2026)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (February 23, 2026)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 23, 2026)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (February 23, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 9, 2026)
K-0222	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.	Deficient, Provider has date of correction (February 6, 2026)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (January 13, 2026)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (January 21, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 31, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 9, 2026)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (January 16, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 7, 2026)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (February 23, 2026)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (January 9, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 9, 2026)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (February 23, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has plan of correction (July 5, 2026)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (January 7, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 8, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 7, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (February 5, 2026)

February 21, 2022 — 11 citations

Citations issued on February 21, 2022
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 25, 2022)
K-0222	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.	Deficient, Provider has date of correction (March 24, 2022)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (March 24, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 24, 2022)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 24, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 22, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 22, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 24, 2022)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 3, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 24, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 24, 2022)

March 5, 2020 — 6 citations

Citations issued on March 5, 2020
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 11, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 11, 2020)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 13, 2020)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 13, 2020)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 17, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 13, 2020)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.