Occupancy rate
94%
Higher than the New York average: 88.3%Greenfield Health & Rehab Center
Assisted Living · USA
Greenfield Health & Rehab Center
Assisted Living · USA
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.
Staffing hours breakdown
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.
| Staff type | Hours / day | 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 |
|
Total Nursing (Weekend)
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.
| 3h 57m per day | ▲ 25% 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 |
|
RN (Weekend)
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 |
160-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 77 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Occupancy
Higher than the New York average: 88.3%Occupied beds
150 / 160
Average residents per home in New York
166 per day
Facility TypeNursing Home
StatusActive
CountyErie
License Number1467301N
Greenfield Health & Rehab Center is legally operated by Niagara Lutheran Development, Inc (Not for Profit).
Owner NameNiagara Lutheran Development, Inc (Not For Profit)
Rehabilitation Services
Respite Care
Short-Term Rehab
Licensed Nurses/CNAs
24-Hour Staffing
24/7 Care
Transportation To Medical Appointments
Community Spaces
Central Courtyard Access
Specific ProgramsEnhanced Assisted Living, Skilled Nursing & Respite Care, Subacute Rehabilitation, Outpatient Therapy
Volunteer ProgramsYes
Infection Prevention & Vaccination
How this facility protects residents through staff vaccination policies and immunization practices.
Employee Flu Vaccination Rate: 74%
Percentage of facility employees vaccinated against influenza.
Inspection History
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.
Since 2020 · 6 years of data
3 enforcement actions
36 citations
142 complaints
13 inspections
25 complaint investigations
Enforcement Actions
Enforcement actions are formal penalties or interventions imposed by New York regulators when an assisted living residence fails to meet state care, safety, or regulatory standards. They may include stipulations and orders, civil monetary penalties, operational restrictions, or appointment of temporary management.
Since 2020
3
enforcement actions
This facility has 3 enforcement actions. 57% of New York assisted living residences have zero, and the statewide average is 0.9.
- January 3, 2023 Quality of Care #NH-23-046
- January 7, 2021 Quality of Care #NH-21-043
- September 30, 2020 Multiple Deficiencies #NH-20-075
Inspection Scorecard
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.
Since 2022 vs. New York state average
Overall vs. NY average
9 Worse
Metrics worse than New York average:
• Total citations (24% above)
• Health citations (55% above)
• Life safety citations (25% above)
• Citations per year (23% above)
• Total inspections (44% above)
• Total complaints (80% above)
• Complaints per year (79% above)
• Complaints per bed (88% above)
• Complaint investigations (67% above) 1 At Avg Metrics at New York average:
• Inspections with citations (at NY avg) 2 Better Metrics better than New York average:
• Citations per inspection (13% below)
• Inspection citation rate (32% below)
• Total citations (24% above)
• Health citations (55% above)
• Life safety citations (25% above)
• Citations per year (23% above)
• Total inspections (44% above)
• Total complaints (80% above)
• Complaints per year (79% above)
• Complaints per bed (88% above)
• Complaint investigations (67% above) 1 At Avg Metrics at New York average:
• Inspections with citations (at NY avg) 2 Better Metrics better than New York average:
• Citations per inspection (13% below)
• Inspection citation rate (32% below)
Latest Inspection
August 8, 2025
Complaint Investigation
Citations
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 29 | This facility has 24% more total citations than a typical New York assisted living residence (36 vs. NY avg 29).↑ 24% 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 assisted living residence (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 assisted living residence (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2022.
| 9 | 7.3 | This facility has 23% more citations per year than a typical New York assisted living residence (9 vs. NY avg 7.3).↑ 23% worse |
|
Citations per inspection
Average citations per inspection.
| 2.8 | 3.2 | This facility has 13% fewer citations per inspection than a typical New York assisted living residence (2.8 vs. NY avg 3.2).↓ 13% better |
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | 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 assisted living residence (13 vs. NY avg 9).↑ 44% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 5 | This facility has inspections with citations in line with the New York average (5 vs. NY avg 5).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 38% | 56% | This facility has 18 percentage points lower inspection citation rate than a typical New York assisted living residence (38% vs. NY avg 56%).↓ 18% better |
Complaints & Investigations
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | 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 assisted living residence (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 assisted living residence (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 assisted living residence (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 assisted living residence (25 vs. NY avg 15).↑ 67% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near Greenfield Health & Rehab Center
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.
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Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.55
Number of hospitalizations per 1,000 long-stay resident days.
0.55
68% better than State averageState average: 1.71
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.25
7% better than State averageState average: 1.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.1%
7% worse than State averageState average: 20.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
7% better than State averageState average: 9.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
19% better than State averageState average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
69.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.7%
30% better than State averageState average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
52.8%
Rate of successful return to home or community from a skilled nursing facility.
52.8%
In line with State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Compare Assisted Living around Usa
The information below is reported by the New York State Department of Health.
Filter by care type
| Greenfield Health & Rehab Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lancaster | 160 | No | 77 | - |
| Job Haines Home |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 16 | No | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 12 | No | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | 45 | - |
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Frequently Asked Questions about Greenfield Health & Rehab Center
Who is the owner of Greenfield Health & Rehab Center?
The legal owner and operator of Greenfield Health & Rehab Center is Niagara Lutheran Development, Inc (Not for Profit).
Is Greenfield Health & Rehab Center in a walkable area?
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.
What is the license number of Greenfield Health & Rehab Center?
According to NY state health department records, Greenfield Health & Rehab Center's license number is 1467301N.
What is the occupancy rate at Greenfield Health & Rehab Center?
Greenfield Health & Rehab Center's occupancy is 94%.
How many beds does Greenfield Health & Rehab Center have?
Greenfield Health & Rehab Center has 160 beds.
Has Greenfield Health & Rehab Center had any recent deficiencies or citations?
Greenfield Health & Rehab Center has had 36 recently reported deficiencies.
Are there photos of Greenfield Health & Rehab Center?
Yes — there are 3 photos of Greenfield Health & Rehab Center in the photo gallery on this page.
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