New York ›Greenhurst

Heritage Green Rehab & Skilled Nursing

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3023 Route 430, Greenhurst, NY 14742 (opens Google Maps) · Chautauqua County · (716) 483-5000· 134 certified beds · avg 116 residents/day · certified since May 14, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: HERITAGE MINISTRIES (3 facilities, chain avg rating 2.0★)

2/5
Health inspection rating (on-site)
inspected Feb 27, 2026
1
Serious findings on record
most recent Dec 7, 2021
$0
Fines, last 3 years
2.61
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Dec 7, 2021 · F-0725

The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.

Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 31, 2022 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725

  2. F · Potential for more than minimal harm, widespread

    The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint F-0727

  3. E · Potential for more than minimal harm, pattern

    The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. F-0700

View all 16 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Feb 27, 2026F · Potential for more than minimal harm, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Feb 27, 2026F · Potential for more than minimal harm, widespreadThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727
Feb 27, 2026E · Potential for more than minimal harm, patternThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Feb 27, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Feb 27, 2026D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 27, 2026D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Feb 27, 2026C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Aug 15, 2025F · Potential for more than minimal harm, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · F-0742
Dec 7, 2021▲ K · Immediate jeopardy, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Dec 7, 2021D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 2
Serious citations (G–L): 1
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202121K ▲
202450D
202520F
202670F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.61
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.34
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.31
New York average: 3.13
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.613.583.95bottom 6% in New York; bottom 5% in the U.S.
Registered Nurse hours0.340.680.69bottom 8% in New York; bottom 14% in the U.S.
Weekend total nurse staffing2.313.133.50bottom 6% in New York; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)0.140.480.48bottom 3% in New York; bottom 4% in the U.S.
Total nursing staff turnover (%)51.140.345.8bottom 23% in New York; bottom 34% in the U.S.
RN turnover (%)30.039.842.9top 29% in New York; top 29% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.42, RN 0.32, weekend 2.14.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Heritage Green Rehab & Skilled Nursing. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Heritage Ministries Charitable Care Network INC.Organization5% or Greater Direct Ownership Interest100%08/11/2008
Burkhouse, JessicaIndividualOperational/Managerial ControlNOT APPLICABLE06/14/2014
Burkhouse, JessicaIndividualADP of the SNFNOT APPLICABLE06/14/2014
Digregorio, RobinIndividualOperational/Managerial ControlNOT APPLICABLE11/25/2024
Digregorio, RobinIndividualADP of the SNFNOT APPLICABLE12/05/2025
Fernandez, GregoryIndividualCorporate DirectorNOT APPLICABLE11/25/2024
Fernandez, GregoryIndividualTrustee of the SNFNOT APPLICABLE11/25/2024
Haglund, LisaIndividualCorporate OfficerNOT APPLICABLE05/11/2020
Haglund, LisaIndividualOperational/Managerial ControlNOT APPLICABLE11/25/2024
Haglund, LisaIndividualADP of the SNFNOT APPLICABLE05/11/2020
Noll, PamelaIndividualCorporate DirectorNOT APPLICABLE11/25/2024
Noll, PamelaIndividualTrustee of the SNFNOT APPLICABLE11/25/2024
Persia, AlbertIndividualOperational/Managerial ControlNOT APPLICABLE07/24/2023
Persia, AlbertIndividualADP of the SNFNOT APPLICABLE07/24/2023
Spanos, Mary AnnIndividualCorporate DirectorNOT APPLICABLE11/25/2024
Spanos, Mary AnnIndividualTrustee of the SNFNOT APPLICABLE11/25/2024
Stark, PeterIndividualCorporate DirectorNOT APPLICABLE11/25/2024
Stark, PeterIndividualTrustee of the SNFNOT APPLICABLE11/25/2024
Wilcox, MarkIndividualOperational/Managerial ControlNOT APPLICABLE11/25/2024

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Heritage Ministries — 3 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "How many hours a day is a registered nurse physically in the building, including weekends?"
  • "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "Where do you post your latest state inspection results and the ombudsman's contact information?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Heritage Park Rehab & Skilled Nursing4.3 miJamestown, NY★☆☆☆☆1/5
Rouse Warren County Home19.3 miYoungsville, PA★☆☆☆☆2/5abuse

Compare this facility with the 2 closest →

Other facilities in the same county

CMS records place this facility in Chautauqua, NY — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Greenhurst →

Facility data as of CMS processing date 2026-08-01. CCN 335721.

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