168 West Main Street, Springville, NY 14141 · Erie County · (716) 592-4781
82 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335457 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 2, 2026, inspectors cited 3 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 8 health citations since August 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $16,556 in the last three years; the largest was $8,278, and the latest is dated November 10, 2025.
Nurses and nurse aides worked 2.90 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
38.8% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to The Sherman Family, an affiliated group of 7 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Inspectors wroteBased on observation, interview, and record review completed during the survey, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food safety for one (1) of one (1) kitchen. Specifically, on multiple observations, the kitchen ceiling had an active leak along the exhaust hood, onto the front of the stove top, behind the stove, and to the right of the stove, onto the floor. The entire kitchen ceiling was in disrepair, sagging in multiple places, had mixed textures and materials covering the surface, with visible stains and food splatter. The kitchen walls had visible water damage and multiple textures of plaster. Additionally, there were multiple observations of an active leak into an open container under the three (3) bay sink.
Inspectors wroteBased on interview and record review the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility had no evidence that verified six (6) (Certified Nurse Aide #1, Certified Nurse Aide #2, Licensed Practical Nurse #1, Dietary Aide #1, Administration/ Receptionist #1, and Nurse Aide Trainee/ Unit Helper #1) of eight (8) employees reviewed that worked in the facility and were subject to the New York State Nurse Aide Registry had been screened through the New York State Nurse Aide Registry prior to their first date worked at the facility.
Inspectors wroteBased on observation, interview, and record review conducted during the survey, the facility did not ensure residents have the right to personal privacy including accommodations for one (1) (Resident #3) of one (1) resident reviewed. Specifically, a privacy curtain in the resident's room did not fully enclose Resident #3's bed. The finding is:The policy titled Resident Rights Guidelines for Nursing Procedures dated October 2010 documented prior to having direct care responsibilities for residents, staff must have appropriate in-service training on resident rights including resident dignity and respect. The policy titled Bedrooms dated May 2017 documented each room was designed to provide full visual privacy for each resident (in the form of ceiling-suspended curtains that extend around the bed) and equipped for adequate nursing care. [...]
Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated Partial Extended survey (Complaint #NY00361768-437980), the facility failed to protect residents from abuse by staff for one (1) (Resident #1) of three (3) residents reviewed for abuse. Specifically, on 11/12/2024 Certified Nurse Aide #5 shared with co-workers, a live photograph (feature on a cell phone that captures a 1.5 to 3 second video with sound that allows a photo to come to life) that was taken on their personal cellphone, of Resident #1 during incontinence care with their buttocks exposed, and without the resident's consent. Using the reasonable person concept, as referenced on the Centers for Medicare and Medicaid Services Psychosocial Outcome Severity guide, it was determined psychosocial harm occurred for Resident #1 that is not -immediate Jeopardy. The finding is: [...]
Inspectors wroteBased on interview and record review conducted during an Abbreviated Partial Extended survey (Complaint #NY00361768-437980) the facility did not ensure that all alleged violations involving abuse and mistreatment are reported immediately, but not later than two (2) hours after the allegation is made, if the events that cause the allegation involve abuse, to other officials (including the State Survey Agency) for one (1) (Resident #1) of three (3) residents reviewed. Specifically, allegations of resident abuse identified by multiple staff members on 11/12/2024 was not reported to the Administrator until 11/25/2024. [...]
Inspectors wroteBased on observation, interview, and record review conducted during a Complaint investigation (Complaint #NY00307069) during the Standard survey completed on 4/16/24, the facility did not protect the resident's right to be free from sexual abuse for two (Resident's #22 &53) of three residents reviewed. Specifically, Resident #53 was observed by staff engaged in non-consensual sexual contact with Resident #22. The finding is: The policy and procedure titled Abuse Prevention Program revised 12/16 documented our residents have the right to be free from abuse. This includes but was not limited sexual abuse. As part of the resident abuse prevention, the administration will: protect our residents from abuse from facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual. [...]
Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey started on 8/4/22 and completed on 8/11/22, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene. Specifically, two (Residents #40 and #4) of two residents reviewed for ADL's had long, jagged, and dirty fingernails. The finding is: The facility policy and procedure (P&P) titled Care of Fingernails/Toenails revised October 2010 documented the purpose of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections. Nail care included daily cleaning and regular trimming. Proper nail care can aid in the prevention of skin problems around the nail bed. [...]
Inspectors wroteBased on interview and record review completed during the Standard survey conducted 8/4/22 through 8/11/22, the facility did not maintain an infection prevention and control program to ensure the health and safety of residents to help prevent the transmission of COVID-19. Specifically, the facility had no documented evidence three (Certified Nurse Aides (CNA) #3, 4, 5) of three direct care contract staff, not up to date with their COVID-19 vaccination, were tested for COVID-19 as required. The finding is: The Centers for Medicare and Medicaid Services (CMS) QSO 20-38-NH revised 3/10/22 documented that staff who are not up to date with their COVID-19 vaccinations needed to be tested at minimum twice a week when the COVID-19 community transmission level is at high (red). [...]
12 fire safety citations on file: 6 on February 2, 2026, 4 on April 16, 2024, 2 on August 11, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| November 10, 2025 | Fine | $8,278 |
| November 10, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.90 | 3.63 | 3.86 |
| Registered nurses | 0.47 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.57 | 3.18 | 3.42 |
| Nurse aides | 1.67 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 38.8% | 40.3% | 45.8% |
| Registered nurse turnover | 44.4% | 39.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.03 on weekdays and 2.57 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 2.90 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.90 | 0.47 | 3.03 | 2.57 | 0.0% | 0 of 90 | 75 |
| Oct to Dec 2025 | 2.82 | 0.34 | 2.91 | 2.58 | 0.0% | 1 of 92 | 76 |
| Jul to Sep 2025 | 3.10 | 0.37 | 3.26 | 2.68 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.40 | 0.43 | 3.66 | 2.74 | 0.0% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.4 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.2 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.7 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.6 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 9.6 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Fiddlers Green Manor Rehab and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.1% this home
No different from the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 44 eligible stays.
11.1% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 49 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 30 eligible stays.
75.0% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 44 residents counted.
1.8% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.
1.2% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 55 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: JSSG HEALTHCARE LLC. CMS links this home to The Sherman Family, a group of 7 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goldstein, Jeffery | 5% or greater direct ownership interest | Individual | 75% | 09/01/2011 |
| Lowenbraun, Chaim | 5% or greater direct ownership interest | Individual | 25% | 09/01/2011 |
| Fasolino, Courtney | W-2 managing employee | Individual | 11/15/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.