ElderGrade
C

62/100

Average

Heritage Green Rehab & Skilled Nursing

3023 Route 430, Greenhurst, NY 14742

CMS 1/5 stars #3 of 4 in Chautauqua County (716) 483-5000
Certified beds
134
Occupancy
87%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.61 total nurse hours per resident per day (national median 3.77)
  • 0.32 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 51% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.42 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.32 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.14 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 51.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: February 27, 2026 (5 months ago).

F Feb 27, 2026 F0725

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

F Feb 27, 2026 F0727 From a complaint

Nursing and Physician Services Deficiencies

Have 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.

No actual harm, potential for more than minimal harm

E Feb 27, 2026 F0700

Quality of Life and Care Deficiencies

Try 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) Cor...

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

C Feb 27, 2026 F0577

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

No actual harm, minimal potential

F Aug 15, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HERITAGE MINISTRIES, which operates 3 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FERNANDEZ, GREGORY Individual CORPORATE DIRECTOR
NOLL, PAMELA Individual CORPORATE DIRECTOR
SPANOS, MARY ANN Individual CORPORATE DIRECTOR
STARK, PETER Individual CORPORATE DIRECTOR
HAGLUND, LISA Individual CORPORATE OFFICER
BURKHOUSE, JESSICA Individual OPERATIONAL/MANAGERIAL CONTROL
DIGREGORIO, ROBIN Individual OPERATIONAL/MANAGERIAL CONTROL
HAGLUND, LISA Individual OPERATIONAL/MANAGERIAL CONTROL
PERSIA, ALBERT Individual OPERATIONAL/MANAGERIAL CONTROL
WILCOX, MARK Individual OPERATIONAL/MANAGERIAL CONTROL
FERNANDEZ, GREGORY Individual TRUSTEE OF THE SNF
NOLL, PAMELA Individual TRUSTEE OF THE SNF

What families say

Write a review

No family reviews yet for Heritage Green Rehab & Skilled Nursing. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Heritage Green Rehab & Skilled Nursing

What is the ElderGrade for Heritage Green Rehab & Skilled Nursing? +

Heritage Green Rehab & Skilled Nursing holds an ElderGrade of C (62 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Heritage Green Rehab & Skilled Nursing? +

Residents receive an average of 2.42 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Heritage Green Rehab & Skilled Nursing been cited for harming residents? +

Yes. 1 of the 16 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Heritage Green Rehab & Skilled Nursing accept Medicaid? +

Yes, Heritage Green Rehab & Skilled Nursing is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.