Inspection Reports for Greenfield Health & Rehab Center

5949 Broadway, Lancaster, NY, 14086

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Inspection Report Summary

The most recent inspection on August 8, 2025, identified deficiencies related to bowel/bladder incontinence, infection control, and fire alarm system maintenance, among others. Earlier inspections showed a pattern of similar issues, including infection control, staff background checks, and life safety code violations, with some findings corrected promptly. Prior reports also noted deficiencies involving antibiotic stewardship, abuse prevention, and emergency preparedness, but no fines or enforcement actions were listed in the available reports. Complaint investigations during this period were unsubstantiated or corrected without enforcement. The inspection history shows recurring themes in infection control and safety systems, with no clear pattern of overall improvement or decline.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 11.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

122% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2022
2023
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 11 Date: Aug 8, 2025

Visit Reason
Inspection identified 7 standard health citations and 4 life safety code citations, including issues with bowel/bladder incontinence, infection control, and fire alarm system maintenance.

Findings
Inspection identified 7 standard health citations and 4 life safety code citations, including issues with bowel/bladder incontinence, infection control, and fire alarm system maintenance.

Deficiencies (11)
Bowel/bladder incontinence, catheter, uti
Department criminal history review
Entering into binding arbitration agreements
Infection control
Parenteral/iv fluids
Responsibilities of providers; required notif
Right to be free from chemical restraints
Fire alarm system - testing and maintenance
Hvac
Means of egress - general
Soiled linen and trash containers

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 16 Date: Dec 18, 2023

Visit Reason
Complaint survey with 7 standard health citations and 9 life safety code citations, including antibiotic stewardship, abuse prevention, infection control, privacy, and multiple life safety code issues corrected by early 2024.

Findings
Complaint survey with 7 standard health citations and 9 life safety code citations, including antibiotic stewardship, abuse prevention, infection control, privacy, and multiple life safety code issues corrected by early 2024.

Deficiencies (16)
Antibiotic stewardship program
Free from abuse and neglect
Free of accident hazards/supervision/devices
Infection prevention & control
Personal privacy/confidentiality of records
Responsibilities of providers; required notif
Right to be free from physical restraints
Cooking facilities
Corridor - doors
Electrical systems - essential electric syste
Fire drills
Gas equipment - cylinder and container storag
Hazardous areas - enclosure
Means of egress - general
Soiled linen and trash containers
Sprinkler system - maintenance and testing

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jan 18, 2023

Visit Reason
Complaint survey with one standard health citation for investigating and preventing alleged violations, corrected by February 2023.

Findings
Complaint survey with one standard health citation for investigating and preventing alleged violations, corrected by February 2023.

Deficiencies (1)
Investigate/prevent/correct alleged violation

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jan 3, 2023

Visit Reason
Complaint survey with two standard health citations including a Level 4 immediate jeopardy for CPR and a Level 2 for notification of changes, both corrected by February 2023.

Findings
Complaint survey with two standard health citations including a Level 4 immediate jeopardy for CPR and a Level 2 for notification of changes, both corrected by February 2023.

Deficiencies (2)
Cardio-pulmonary resuscitation (cpr)
Notify of changes (injury/decline/room, etc.)

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: May 31, 2022

Visit Reason
Complaint survey with several standard health citations including criminal history checks, infection control, and reporting of alleged violations, mostly corrected by mid-2022.

Findings
Complaint survey with several standard health citations including criminal history checks, infection control, and reporting of alleged violations, mostly corrected by mid-2022.

Deficiencies (4)
Criminal history record check process
Department criminal history review
Infection control
Reporting of alleged violations

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