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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Greenfield Health & Rehabilitation Center is a 160-bed nonprofit facility in Lancaster, Erie County, established in 1967 and repositioned as locally-owned independent operation. It provides skilled nursing, short-term rehabilitation, long-term care, independent living, assisted living, enhanced assisted living, memory care, respite care, subacute rehabilitation, and outpatient therapy services. Medicare and Medicaid certified with 90-94 percent occupancy averaging 145-150 residents, it operates 57 specialized rehabilitation beds emphasizing evidence-based individualized treatment and physician communication partnerships.
Greenfield Health’s CMS ratings present substantive interpretive complexity: source data ranges one-star to five-star overall, with recent designations indicating high-performing short-term rehabilitation status and four-five star health inspection-quality measures ratings, contrasting with historical one-star assessments. Recent inspection records documented 34 deficiencies, 133 complaints, and 23 total citations. The facility incurred five federal fines totaling $26,890 spanning enforcement periods. The facility claims CMS Top 1% national designation for Skilled Nursing Facility performance and Value-Based Purchasing in 2020-2021, suggesting measurable performance trajectory improvements correlating with deficiency reduction efforts and rating elevation trajectories.
Greenfield Health offers physical therapy, occupational therapy, speech-language pathology, outpatient therapy, dental, clinical laboratory, mental health, psychiatry, and physician oversight services. Specialized rehabilitation programming targets orthopedic conditions (hip and knee replacement recovery), neurological rehabilitation, post-surgical recovery, and functional restoration. The locally-independent operational model emphasizes evidence-based treatment protocol implementation, state-of-the-art facility infrastructure, employee retention through benefits including on-site gym access and childcare services, and 24-hour clinical availability.
Family testimonials demonstrate pronounced polarization reflecting potential departmental performance variability or temporal quality transitions. Rehabilitation services, particularly physical and occupational therapy, receive consistent praise for professionalism, technical expertise, and compassionate engagement supporting successful post-surgical outcomes. Conversely, concurrent reports document call-button responsiveness delays attributable to staffing constraints, medical decision communication gaps, and care coordination inconsistencies. This bifurcation suggests excellence in specialized rehabilitation domains coexisting alongside operational deficiencies in general nursing responsiveness and administrative coordination.
Greenfield Health represents a facility undergoing apparent performance inflection, with claimed Top 1% CMS designation status against historical compliance deficiencies now reportedly addressed. Families considering placement must directly verify current authoritative CMS ratings resolving source discrepancies, request comprehensive documentation of five-fine corrective action implementation and deficiency resolution evidence since most recent enforcement periods, conduct unannounced multi-visit facility assessments across varying hours to independently assess call-button responsiveness and nursing care timeliness, and confirm whether rehabilitation service excellence extends uniformly across general long-term care domains or remains concentrated within specialized therapy services.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 17th out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▼ 5% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 23m per day | ▲ 80% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 42m per day | ▲ 24% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 1m per day | ▲ 27% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 16m per day | ▲ 129% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 14% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Greenfield Health & Rehab Center is legally operated by Niagara Lutheran Development, Inc (Not for Profit).
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
17 points below the New York average for nursing homes (83/100)
Inspection score: 66 out of 100. Letter grade D. 17 points below the New York average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 3 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 13 | This facility has 177% more total citations than a typical New York nursing home (36 vs. NY avg 13).↑ 177% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 31 | 20 | This facility has 55% more health citations than a typical New York nursing home (31 vs. NY avg 20).↑ 55% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 4 | This facility has 25% more life safety citations than a typical New York nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2022.
| 9 | 3.3 | This facility has 173% more citations per year than a typical New York nursing home (9 vs. NY avg 3.3).↑ 173% worse |
|
Citations per inspection
Average citations per inspection.
| 2.8 | 1.4 | This facility has 100% more citations per inspection than a typical New York nursing home (2.8 vs. NY avg 1.4).↑ 100% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 9 | This facility has 44% more total inspections than a typical New York nursing home (13 vs. NY avg 9).↑ 44% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 4 | This facility has 25% more inspections with citations than a typical New York nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 38% | 44% | This facility has 6 percentage points lower inspection citation rate than a typical New York nursing home (38% vs. NY avg 44%).↓ 6% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 142 | 79 | This facility has 80% more total complaints than a typical New York nursing home (142 vs. NY avg 79).↑ 80% worse |
|
Complaints per year
Average complaints per year since 2022.
| 35.5 | 19.8 | This facility has 79% more complaints per year than a typical New York nursing home (35.5 vs. NY avg 19.8).↑ 79% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.94 | 0.50 | This facility has 88% more complaints per bed than a typical New York nursing home (0.94 vs. NY avg 0.5).↑ 88% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 25 | 15 | This facility has 67% more complaint investigations than a typical New York nursing home (25 vs. NY avg 15).↑ 67% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York average 3.6
Last Health inspection on Aug 2025
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 11 citations resulted from standard inspections; and 2 of 11 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
937% more staff per resident than New York average
6% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
62 total: 34 full-time employees and 28 contractors.
62
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 114 CNA Staff are full-time employees. No contractors work on this role.
114
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,304 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 114 | 0 | 114 | 38,179 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 34 | 28 | 62 | 17,363 | 92 | 100% | 8.8 |
| Registered Nurse | 15 | 0 | 15 | 5,620 | 92 | 100% | 8.4 |
| Respiratory Therapy Technician | 18 | 0 | 18 | 4,116 | 90 | 98% | 7.2 |
| Physical Therapy Assistant | 15 | 0 | 15 | 3,572 | 90 | 98% | 7.1 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,418 | 92 | 100% | 7.2 |
| RN Director of Nursing | 7 | 0 | 7 | 2,371 | 87 | 95% | 7.2 |
| Nurse Aide in Training | 14 | 0 | 14 | 2,040 | 45 | 49% | 7.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,920 | 92 | 100% | 7.5 |
| Therapeutic Recreation Specialist | 4 | 0 | 4 | 1,873 | 90 | 98% | 7.4 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,415 | 73 | 79% | 7.8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,211 | 69 | 75% | 7.2 |
| Qualified Social Worker | 4 | 0 | 4 | 1,160 | 74 | 80% | 6.4 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 453 | 59 | 64% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Dietitian | 1 | 0 | 1 | 420 | 57 | 62% | 7.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
66% lower than New York averageNew York average: $66K
51% fewer fines than New York averageNew York average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York averageNew York average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
43% worse than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
56% worse than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
56% worse than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
26.2%
58% worse than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.2%
55% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
69% worse than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.3%
40% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
1.2%
14% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
9.2%
51% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
2.0%
89% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
16.9%
34% worse than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with New York averageNew York average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.55
68% better than New York averageNew York average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.25
7% better than New York averageNew York average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
30% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
13% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
24% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.1%
7% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
7% better than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
19% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.7%
30% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.8%
In line with New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
78% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
153Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Greenfield Health & Rehab Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #144 / 382Payroll — State benchmarkedThis home is ranked 144th out of 382 homes in New York for payroll. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Lancaster's city center to Greenfield Health & Rehab Center's address, calculated via Google Maps.
Add your location
Greenfield Health & Rehab Center is located in Lancaster, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Greenfield Health & Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lancaster | 160
Facility
160
NY AVG
160
Rank
#298 / 748 | 93.8% | +6% | 5.08 | -57% | +42% | $22.3k | 66 | 11 | 3.7 | - | 152 |
77
Facility
77
NY AVG
63
Rank
#503 / 1173 | Candyce Ingwersen | $34.6M | $17.5M | 50.6% | 335182 | ||||
| Gowanda Rehabilitation & Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Gowanda | 160
Facility
160
NY AVG
160
Rank
#298 / 748 | 93.8% | +6% | 4.15 | -9% | +16% | $61.2k | 73 | 15 | 3.8 | 1 | 151 |
60
Facility
60
NY AVG
63
Rank
#696 / 1173 | Gornc Holdings LLC | $23.4M | $8.6M | 36.6% | 335642 |
The legal owner and operator of Greenfield Health & Rehab Center is Niagara Lutheran Development, Inc (Not for Profit).
Greenfield Health & Rehab Center has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Greenfield Health & Rehab Center's license number is 1467301N.
Greenfield Health & Rehab Center's occupancy is 94%.
Greenfield Health & Rehab Center has 160 beds.
Greenfield Health & Rehab Center has had 36 recently reported deficiencies.
Greenfield Health & Rehab Center is located at 5949 Broadway.
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