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HERITAGE GREEN REHAB & SKILLED NURSING Inspection Report, Violations & Safety Grade (GREENHURST, New York)

3023 ROUTE 430, GREENHURST, New York 14742

Phone: 7164835000

CMS Overall:2/5

Overview & Bed Count

Certified Beds
134
Avg Residents/Day
116.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Chautauqua
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.390.73-0.34
Total Nurse Hours per Resident per Day2.963.69-0.72
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover57.8%40.3%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2026-02-27Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2026-02-27Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2026-02-27Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E – Moderate Harm Potential
2026-02-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-02-27Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2026-02-27Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2026-02-27Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.C – Minimal Harm Potential
2025-08-15Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2025-08-15Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-02-01Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-02-01Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-02-01Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-02-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-02-01Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2021-12-07Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.K – Immediate Jeopardy
2021-12-07Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-02-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-02-27Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2026-02-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-02-27Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2026-02-27Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-02-27Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2026-02-27Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2026-02-27Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2024-02-01Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2024-02-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-02-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-02-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2021-12-07Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2021-12-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2021-12-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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