Home / Pennsylvania / Erie
Greenfield Healthcare and Rehabilitation Center
1521 West 54th Street, Erie, PA 16509 · Erie County · (814) 864-0671
133 certified beds, about 68 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1979
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395262 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 27, 2026, inspectors cited 13 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 54 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $15,935 in the last three years; the largest was $15,935, and the latest is dated January 8, 2026.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
50.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Abraham Smilow, an affiliated group of 7 nursing homes.
Health inspections
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.
211/23
1202/24
104/24
211/24
1302/25
203/25
107/25
209/25
111/25
301/26
1301/26
204/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 54 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
30D
18E
2F
Potential for minimal harm
0A
0B
2C
April 24, 2026Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, manufacturer's guidelines, facility records, clinical records and staff interview, it was determined that the facility failed to monitor interventions and complete assessments for a resident at risk for elopement (an at-risk individual leaving a supervised care setting without staff knowledge) (Resident R1).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding showers for one resident reviewed (Resident R1).
January 27, 2026Standard inspection · 13 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy, review of clinical and facility records, review of the Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual 2025 (RAI-assessment guide used to plan the provision of care for residents), and resident and staff interviews, it was determined that the facility failed to ensure Resident R6 was free of neglect during care, which resulted in actual harm of a laceration to the left posterior head, fracture of left pubic bone with a two part fracture that extended into the pubic symphysis (the front and lower part of left hip bone which separated and fractured), left scapholunate ligament tear (a wrist injury involving bones of wrist that separate due to a tear in the connecting ligament), and shock (a life-threatening medical emergency caused by inadequate blood flow to tissues resulting in oxygen not getting to organs of body resulting in [...]
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, review of facility documentation and clinical records, review of the Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual 2025 (RAI-assessment guide used to plan the provision of care for residents), and resident and staff interviews, it was determined that the facility failed to ensure essential resident safety measures were followed to prevent a fall for one of 17 residents (Resident R6), which resulted in actual harm of a laceration to the left posterior head, fracture of left pubic bone with a two part fracture that extended into the pubic symphysis (the front and lower part of left hip bone which separated and fractured), left scapholunate ligament tear (a wrist injury involving bones of wrist that separate due to a tear in the connecting ligament), and shock (a life-threatening medical emergency caused by inadequate blood [...]
- E Honor 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.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to ensure physician's orders and residents Physician Order for Life Sustaining Treatment (POLST- a legal document specifying the resident/responsible party choices regarding life-sustaining treatments) were consistent and failed to ensure that the resident/responsible party were provided with written information on advanced directives or assisted with the opportunity to formulate advanced directives regarding life sustaining treatment for six of 20 residents reviewed (Residents R1, R5, R7, R30, R50 and R62).
- E Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to ensure that the physician signed and dated all orders during visits for seven of 20 residents reviewed (Residents R1, R7, R8, R10, R11, R30, and R62).
- E Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on review of clinical records, resident interviews and staff interviews, it was determined that the facility failed to ensure that physician visits were conducted at least once every 30 days for the first 90 days after admission and at least 60 days thereafter for three of 17 residents reviewed (R8, R11, and R62).
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident and staff interviews, and review of resident council minutes and grievances, and review of nursing staffing documentation, it was determined that the facility failed to provide sufficient nursing staff and services to promote the physical and mental well-being and meet the needs for six of 20 residents interviewed (Residents R6, R8, R9, R30, R53, and R57).
- E Ensure 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.
Inspectors wroteBased on review of facility policy, manufacturer's guidelines, observations, and staff interviews, it was determined that the facility failed to ensure expired medications were discarded in a timely manner in two of two medication carts reviewed (West North Cart and East North Cart).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to follow acceptable infection control practices regarding enhanced barrier precautions (EBP) for two of two resident units (East and [NAME] Unit).
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on a review of facility policy, clinical records, resident and staff interviews, it was determined that the facility failed to provide a bath/shower as resident preference for two of 20 residents reviewed (Residents R8 and R62).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy, review of clinical and facility records, and resident and staff interviews, it was determined that the facility failed to complete a thorough investigation related to falls for one of 17 residents reviewed (Resident R6).
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and interviews, it was determined that the facility did not ensure the garbage and refuse was disposed of properly for one dumpster.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and review of clinical and facility records and resident and staff interview, it was determined that the facility failed to maintain accurate and complete documentation related to falls for one of 17 residents reviewed (Resident R6).
- C Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of facility policy and infection control documentation, and staff interview, it was determined that the facility failed to develop and implement an antibiotic stewardship program.
January 8, 2026Complaint inspection · 3 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to provide the resident and/or resident representative with a written notice of the facility bed-hold policy (explanation of how long a bed can be held during a leave of absence and the cost per day) and failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital for four of four residents reviewed for hospitalization (Residents R2, R5, R6, and R7).
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to initiate a baseline care plan and provide a written summary of the baseline care plan and order summary to the resident and/or representative for three of 29 residents reviewed (Closed Record Residents CR1, CR2, and CR3).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to transcribe and act upon physician orders for medications ordered at time of admission for one of six residents reviewed (Resident R2) and failed to follow physician's orders regarding the administration of seizure medications for one of five residents reviewed (Resident R2).
November 21, 2025Complaint inspection · 1 citation
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and documentation, clinical records, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding showers on four of four residents reviewed (Residents R1, R2, R3, and R4).
September 5, 2025Complaint inspection · 2 citations
- E Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to ensure that the physician sign and date all orders during each of his/her visits for five of five residents reviewed (Residents R1, R3, R4, and R5).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plan of correction for previous survey, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiency and ensure that the plan to improve the delivery of care and services effectively addressed recurring deficiencies.
July 10, 2025Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, facility documentation, and facility policy, and staff interview, it was determined that the facility failed to maintain complete and accurate records for two of six residents reviewed (Closed Record Resident CR2 and Resident R5).
March 18, 2025Complaint inspection · 2 citations
- E Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that the physician sign and date all orders and write, date, and sign a progress note during each of his/her visits for six of seven residents reviewed (Residents R1, R3, R4, R5, R6 and R7).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of facility policy and clinical records, observations, and resident and staff interviews, it was determined that the facility failed to maintain resident privacy and dignity related to the resident's room environment for one of 11 residents reviewed (Resident R2).
February 4, 2025Standard inspection, Complaint inspection · 13 citations
- F Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of facility employee in-service training records and staff interview, it was determined that the facility failed to assure that staff completed all the required mandatory trainings for the yearly Nurse Aide (NA) 12-hour mandatory trainings.
- E Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on review of facility policy and clinical record, and staff interview, it was determined that the facility failed to include the recapitulation of stay (summary of resident's stay and course of treatment in the facility) that included a reconciliation of all pre-discharge medications with the resident's post-discharge medications for one of four closed record residents reviewed (Closed Record Resident CR82).
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident interviews and observations, it was determined that the facility failed to provide sufficient nursing staff to promote the physical and mental well-being and meet the needs of seven of 21 residents interviewed (Residents R2, R55, R34, R6, R186, R68, R36, R2, R41, and R19).
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on review of clinical and facility records, observation, and resident and staff interviews, it was determined that the facility failed to ensure the use of dentures for two of 21 residents reviewed (Residents R51 and R187 ).
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on a review of facility and clinical records, resident and staff interviews, and observations, it was determined that the facility failed to provide a bath/shower as resident preference for two of 21 residents reviewed (Residents R2 and R68).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of facility policy and clinical records, review of the Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual 2019 (RAI-assessment guide used to plan the provision of care for residents), and staff interviews, it was determined that the facility failed to notify the resident's representative of a change in condition timely for one of 21 residents reviewed (Resident R51).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records and facility policy, and resident and staff interviews, it was determined that the facility failed to assess and ensure safe smoking practices for one of 21 residents reviewed (Resident R50).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policies and clinical records, observations, and resident and staff interviews, it was determined that the facility failed to maintain proper care of respiratory equipment for two of 21 residents reviewed (Residents R27 and R50).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of the facility documents and clinical records, and resident and staff interview, it was determined that the facility failed to maintain complete and accurate records relating to dialysis communication for one of 21 residents reviewed (Resident R50).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of clinical and facility records, and resident and staff interviews, it was determined that the facility failed to ensure medications were administered, whether prescribed on a routine, emergency, or as needed basis, to not impede timely administration and adversely affect a resident's condition for one of 21 residents reviewed (Resident R234).
- D Ensure 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.
Inspectors wroteBased on review of Centers for Disease Control (CDC) vaccine guidance, facility policy, observation, and staff interview, it was determined that the facility failed to safely store medications in one of two medication rooms observed (East Wing).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility and clinical records, observations, and staff and resident representative interviews, it was determined the facility failed to ensure that residents with an indwelling catheter (a tube inserted into the bladder to facilitate urine drainage) receive essential care for one of 21 residents reviewed with indwelling catheters (Resident R14).
- C Post nurse staffing information every day.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to ensure that the required nursing staffing information was posted on a daily basis.
November 18, 2024Complaint inspection · 2 citations
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy, clinical records, and facility documents, and staff interview, it was determined that the facility failed to thoroughly investigate injuries of unknown origin for three of nine residents reviewed (Residents R2, R8, and R9).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of facility policy, clinical records, and facility documents, and staff interview, it was determined that the facility failed to notify the responsible party and/or the physician of injuries of unknown origin for two of nine residents reviewed (Residents R2 and R9).
April 3, 2024Complaint inspection · 1 citation
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records, facility policy, and facility documentation, and staff interview it was determined that the facility failed to maintain complete and accurate documentation as related to meal intake, medication administration records (MAR), and/or completion of treatment administration records (TAR) for six of six residents reviewed (Residents R2, R3, R4, R7, R8, and R9).
February 2, 2024Standard inspection · 12 citations
- F Keep all essential equipment working safely.
Inspectors wroteBased on observations, review of facility records and staff interviews, it was determined that the facility failed to maintain kitchen equipment (one of two food steamers, and one of one walk-in coolers) in safe, operating condition.
- E Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on review of facility policy and clinical records, and resident and staff interviews, it was determined that the facility failed to ensure that residents and their responsible parties were afforded the opportunity to participate in the care planning process for three of 23 residents reviewed (Residents R44, R56, and R71).
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to accurately code the Minimum Data Set (MDS-periodic assessment of resident care needs) for four of 23 residents reviewed (Residents R2, R5, R37, and R72).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on review of clinical records and facility documents and staff interview, it was determined that the facility failed to provide the Notice of Medicare Non-Coverage (NOMNC) Form 10123 as required for two of three residents reviewed for beneficiary notices (Residents R70 and R279).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for one of 23 residents reviewed (Resident R37).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to develop comprehensive care plans for two of 23 residents reviewed (Residents R14 and R72).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of Pennsylvania Code Title 49 Professional and Vocational Standards, clinical records, and facility documentation, and staff interviews, it was determined that the facility failed to follow nursing standards of practice related to medical diagnosing for one of 23 residents reviewed (Resident R21).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interviews it was determined that the facility failed to obtain a physician's order for the application of a wanderguard bracelet for one of five residents reviewed for their usage (Resident R72) and failed to obtain a physician's order for the application of a Continuous Positive Airway Pressure (CPAP- a machine that uses mild air pressure to keep breathing airways open while you sleep) for one of 23 residents reviewed (Resident R14).
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, review of clinical records and facility policy, and staff interviews, it was determined the facility failed to ensure that a resident with limited range of motion received physician ordered treatment and services to prevent further decrease in range of motion for one of one residents reviewed for range of motion (Resident R36).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to promote cleanliness and help prevent the spread of infection regarding respiratory care equipment according to physician's orders for two of two residents reviewed for oxygen usage (Residents R42 and R14).
- D Ensure 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.
Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed to label a multi-dose injection pen of Lantus insulin (a long-acting insulin which is used to treat elevated blood sugar levels) with the date it was opened in one of two medication carts reviewed (West South Cart).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, review of facility policy, and staff interview, it was determined that the facility failed to prevent the potential for cross contamination (the spreading of germs/microorganisms from one surface to another) during wound care for one of five residents reviewed for wounds (Resident R16).
November 6, 2023Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on review of clinical records, and staff interviews, it was determined that the facility failed to provide appropriate services to maintain personal hygiene for one of four residents reviewed (Resident R1).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of clinical records, facility policies and documents, and the Pennsylvania Department of Health PAHAN-694, observations, and staff interviews, it was determined that the facility failed to ensure SARS-CoV-2 (COVID-19) infection control protocols were followed to help prevent the development and transmission of communicable diseases and infections on one of two nursing units (East Wing).
Fire safety inspections
4 fire safety citations on file: 4 on January 27, 2026.
Every fire safety citation4 citations
- C Develop and maintain an Emergency Preparedness Program (EP).
- C List the names and contact information of those in the facility.
- C Establish emergency prep training and testing.
- C Conduct testing and exercise requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 8, 2026 | Fine | $15,935 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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 | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.41 | 3.89 | 3.86 |
| Registered nurses | 0.66 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.53 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 44.5% | 45.8% |
| Registered nurse turnover | 50.0% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.98 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.54 on weekdays and 3.09 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.41 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 | 3.41 | 0.66 | 3.54 | 3.09 | 10.3% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.25 | 0.67 | 3.36 | 2.95 | 8.9% | 0 of 92 | 67 |
| Jul to Sep 2025 | 2.97 | 0.50 | 3.06 | 2.73 | 5.3% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.12 | 0.53 | 3.19 | 2.95 | 4.7% | 0 of 91 | 78 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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
Staff pay at this home
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.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.1 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.1 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.1 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: WESTERN RESERVE SNF OPERATING COMPANY LLC. CMS links this home to Abraham Smilow, a group of 7 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gfd SNF Opco Holding Company LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2023 |
| Smilow, Abraham | 5% or greater indirect ownership interest | Individual | 95% | 04/01/2023 |
| Kachel, Elizabeth | Managing control - governing body | Individual | 09/14/2023 | |
| Rohrbach, Charles | Managing control - governing body | Individual | 04/01/2023 | |
| Smilow, Abraham | Managing control - governing body | Individual | 04/01/2023 | |
| Kachel, Elizabeth | Operational/managerial control | Individual | 06/14/2023 | |
| Rohrbach, Charles | Operational/managerial control | Individual | 04/01/2023 | |
| Smilow, Abraham | Operational/managerial control | Individual | 04/01/2023 | |
| Gfd SNF Propco Holding Company LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Hillel Tropper 2016 Irrevocable Trust | Adp of the SNF | Organization | 04/01/2023 | |
| Lads Avenue Associates LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Moshe Trooper 2016 Irrevocable Trust | Adp of the SNF | Organization | 04/01/2023 | |
| T3 Real Estate Initiatives LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Western Reserve Propco Company LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Wpg Consulting Company LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Kachel, Elizabeth | Adp of the SNF | Individual | 09/14/2023 | |
| Rohrbach, Charles | Adp of the SNF | Individual | 04/01/2023 | |
| Smilow, Abraham | Adp of the SNF | Individual | 04/01/2023 | |
| Travitsky, Baruch | Adp of the SNF | Individual | 04/01/2023 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on April 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on April 24, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on January 27, 2026: "Honor 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."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 8 problems in this area, most recently on January 27, 2026: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Pennsylvania average of 3.53.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Millcreek Manor Erie, 0.3 mi · 4 of 5 stars · 29 citations
- Lecom at Presque Isle, Inc Erie, 1.3 mi · 3 of 5 stars · 17 citations
- Forestview Erie, 1.3 mi · 5 of 5 stars · 3 citations
- Walnut Creek Nursing and Rehab Erie, 1.6 mi · 2 of 5 stars · 19 citations
- Lecom at Elmwood Gardens, LLC Erie, 1.9 mi · 5 of 5 stars · 7 citations
- Sarah Reed Senior Living Erie, 2.6 mi · 5 of 5 stars · 10 citations
- Lecom at Village Square, LLC Erie, 2.7 mi · 4 of 5 stars · 17 citations
- Nightingale Nursing and Rehab Center Erie, 3.2 mi · 3 of 5 stars · 12 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Greenfield Healthcare and Rehabilitation Center's Medicare star rating?
- CMS rates Greenfield Healthcare and Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Greenfield Healthcare and Rehabilitation Center get at its last inspection?
- 13 health deficiencies at the standard inspection on January 27, 2026. The Pennsylvania average is 10.
- Has Greenfield Healthcare and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $15,935 in the last three years.
- Does Greenfield Healthcare and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Greenfield Healthcare and Rehabilitation Center?
- CMS lists 19 owners and managers, and links the home to Abraham Smilow. Legal business name: WESTERN RESERVE SNF OPERATING COMPANY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.