a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Skilled nursing facility · CMS certified · CCN 165356

Ams Memorial-greene

108 South High Street, Greene, IA 50636 · Butler County · one of 387 skilled nursing facilities in Iowa
31
certified beds
2 / 5
overall CMS rating
For-profit
ownership type
60.3%
occupancy, Dec 2023: 19 residents a day · Iowa 73.8%
Not reported
case mix
1.82
nurse hours per resident day · Iowa 3.70
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

Try it on the example building ›
How Ams Memorial-greene compares

Better than most of Butler County on none of 5 lines.

Occupancy, Dec 202360.3%Mid-packHigher than 2 of the 4 other buildings in Butler County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 72.3%. Source: CMS monthly provider files, Dec 2023.

Nurse hours per resident day1.82Behind mostLower than all 4 other buildings in Butler County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.37. Source: CMS monthly provider files, Dec 2023.

Overall CMS rating2 / 5Behind mostHigher than 1 of the 4 other buildings in Butler County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 1 of the 4 other buildings in Butler County, level with 1

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited5Mid-packFewer than 2 of the 4 other buildings in Butler County, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 6. Source: CMS Provider Information, Oct 2026 file.

Better than most of Iowa on 1 of 5 lines.

Occupancy, Dec 202360.3%Behind mostHigher than 66 of the 380 other buildings in Iowa

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 76.8%. Source: CMS monthly provider files, Dec 2023.

Nurse hours per resident day1.82Behind mostHigher than 1 of the 373 other buildings in Iowa

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.53. Source: CMS monthly provider files, Dec 2023.

Overall CMS rating2 / 5Behind mostHigher than 73 of the 384 other buildings in Iowa, level with 71

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 77 of the 384 other buildings in Iowa, level with 88

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited5Better than mostFewer than 251 of the 386 other buildings in Iowa, the same as 26

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Iowa
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Dec 2023; CMS Provider Information, Oct 2026 file.

What’s your building worth?

Contact 3G to maximize proceeds. A free valuation from Stan or Christian, built from this building’s record, in a confidential conversation with no obligation.

Get my free valuation
Street view of Ams Memorial-greene
Google Street View · opens in Maps
Street View
108 South High Street, Greene, IA
Map around Ams Memorial-greene
Map · Butler County
Butler County, Iowa
5 skilled nursing facilities; average overall rating 2.8, Iowa 3.1.
See how Butler County compares ›
Cost report, against Iowa
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Iowa. The rank counts from the top: 1st is the highest figure among Iowa's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Iowa that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
81.2%
369
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.2%
370
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
54.1%
368
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$332
372
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$334
372
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$7
372
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
2.0%
370
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.1
Health inspection2 / 5 · state 2.8
Overall rating, last 8 quarters
052Q3’241Q4’241Q1’251Q2’251Q3’251Q4’251Q1’261Q2’26latest
down 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIowanationrecent quarters
Needed more help with daily activitiestoo few residents to report16.6%13.5%too few quarters to chart
Catheter inserted and left intoo few residents to report1.4%0.7%too few quarters to chart
Urinary tract infectiontoo few residents to report2.4%1.5%too few quarters to chart
Fall with major injurytoo few residents to report3.9%3.2%too few quarters to chart
Newly given an antipsychotic (short stay)too few residents to report2.1%1.5%too few quarters to chart
Ability to walk independently worsenedtoo few residents to report15.2%12.7%too few quarters to chart
Pressure ulcerstoo few residents to report4.1%4.5%too few quarters to chart
Given an antipsychotictoo few residents to report19.8%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jul 2026
last standard survey
5
deficiencies cited · Iowa avg 9.3
$0
fines, last 3 years
2025
last change of ownership on the federal file
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Iowa
state rate files
$303
median daily rate across the Iowa buildings in our rate book, Jul 2026 file
Iowa rates and what changed ›
Butler County
buildingbedsoverallClarksville Skilled Nursing & Rehab Center424 / 5Maple Manor Village424 / 5Rehabilitation Center of Allison483 / 5Ams Memorial-greene312 / 5Shell Rock Senior Living411 / 5
All Iowa buildings in Butler County ›
Iowa at a glance
387
buildings
25,131
licensed beds
80%
occupancy
53%
for-profit
Iowa market intelligence report ›
What changed in Iowa
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
Iowa nursing homes lead the nation in short-staffing violations
Live legislation, Iowa ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyRehabilitation Center of AllisonAllison · 9.4 mi483 / 5over 85%Clarksville Skilled Nursing & Rehab CenterClarksville · 10.1 mi424 / 570-85%Chautauqua Guest Home #2Charles City · 12.9 mi535 / 570-85%Chautauqua Guest Home #3Charles City · 13.1 mi575 / 570-85%Shell Rock Senior LivingShell Rock · 17.1 mi411 / 5over 85%Woodland TerraceWaverly · 19.5 mi1005 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Ams Memorial-greene?
Ams Memorial-greene in Greene, IA carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Ams Memorial-greene have?
Ams Memorial-greene is certified for 31 beds in the Oct 2026 CMS file.
How full is Ams Memorial-greene?
CMS's reported average residents put Ams Memorial-greene's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
Own or operate this building?
See the full read and watch it, free.

What is it worth?See the example buildingBook a call
Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.