CARE INITIATIVES HOSPICE - GREENFIELD
Provider Information
- Address
- 122 PUBLIC SQUARE
GREENFIELD, IA 50849 - Ownership Type
- Other
- Medicare Certified Since
- September 16, 2009
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 7 |
| Licensed Practical Nurses (LPN) | 3 |
| Physicians | 0 |
30
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what CARE INITIATIVES HOSPICE - GREENFIELD reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Supplied directly by this hospice
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how CARE INITIATIVES HOSPICE - GREENFIELD compares to hospices nationwide.
13.7 minutes
of nurse care per routine home care day, on average
That is the 65th percentile among hospices nationally. The national median is about 12 minutes.
55
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day13.7 min
Ranks better than about 65% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends7.9%
Ranks better than about 50% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life95.1%
Ranks better than about 62% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits68.6%
Ranks better than about 28% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care3.6%
Ranks better than about 70% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months50%
Ranks better than about 17% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care1.8%
Ranks better than about 78% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)67th percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$13,893 · 28th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 51.2% of patients or more. Most hospices score above 90 percent.
- Pain screening99.6%
- Pain assessment95.7%
- Breathing difficulty screening99.6%
- Breathing difficulty treatment97.1%
- Treatment preferences discussed100%
- Beliefs and values discussed99.6%
- Bowel care for patients on opioids98.4%
- Visits in the last days of life51.2%
- All care steps completed95.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer15%
- Dementia29%
- Heart and circulatory disease24%
- Lung and respiratory disease10%
- Stroke5%
- Other conditions24%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Care for Your Loved Ones
Care Initiatives Hospice - Greenfield serves families in Adair County and the surrounding Iowa areas. They offer comfort-focused care for patients facing life-limiting illnesses. Their local team works right out of the Public Square to bring support directly to your home. Choosing hospice is a big step for any family. This team focuses on keeping your loved one comfortable and pain-free during their final months. That is the core of what they do every single day. They aim to provide peace of mind to everyone involved in the care journey. You deserve to feel supported during this time. Having a local provider means they can reach you quickly when needs change. It helps to have experts close by who understand the needs of our rural community. They are ready to help you navigate these difficult moments with care and respect.
About Care Initiatives Hospice - Greenfield
This hospice provider has been Medicare certified since September 16, 2009. They operate under an 'Other' ownership structure, which is common for many hospice organizations in Iowa. What most people do not realize is that certification means they meet strict federal standards for safety and care. They have built a history of service in the Greenfield area over the last fifteen years. Families should know that this provider is part of a larger network of care. This gives them access to more resources than a tiny, independent office might have. You can reach their office directly at (641) 743-6226 to ask questions about their specific programs. They are prepared to discuss how their team visits homes in the county. It is always wise to call and see if their specific approach fits your family's personal values and medical needs.
Quality of Care Spotlight
Understanding Hospice Care in Greenfield
Hospice care is about quality of life. It is not about giving up, but about choosing a path that puts comfort first. In a place like Greenfield, hospice teams often travel to reach patients on farms or in small towns. They bring nurses, social workers, and aides to you. The goal is to keep your loved one in their own bed, surrounded by familiar things. That is a big deal for peace of mind. Most families find that hospice care makes the final months much easier to manage. You get a team that handles the medical equipment and heavy lifting. This lets you focus on being a daughter, son, or spouse instead of a caregiver. Medicare pays for these services, so cost is rarely a barrier for those who qualify. It is a vital resource for our community members when they need it most.
What to Ask When Choosing a Hospice Provider
Picking a hospice team feels overwhelming, but you can do it. Start by asking how quickly they can arrive if an emergency happens at night. You need to know if they have a nurse on call 24/7. That is a must-have for your peace of mind. Next, ask how they handle pain and other symptoms. You should feel sure that your loved one will be kept comfortable at all times. Also, ask how they support the family after the patient passes away. Grief support is a huge part of good hospice care. Finally, ask if they have volunteers who can sit with your loved one to give you a break. Getting a few hours of rest is vital for your own health. Trust your gut during these talks. The right team will make you feel heard and calm.
Keep Your Family Stories Alive
The moments you share today are the memories your family will hold onto forever. We can help you record and preserve your loved one's life stories, wisdom, and favorite memories in a simple, meaningful way.
Start Preserving MemoriesOther Hospice Providers Nearby
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Starting the End-of-Life Conversation: A Family Guide
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Some stories are worth writing down
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