How to file a complaint about care →
No fines or payment denials in the published 3-year window.
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★)
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.
▲ 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)
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
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
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
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
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 27, 2026 | 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 |
| Feb 27, 2026 | 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 |
| Feb 27, 2026 | 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 |
| Feb 27, 2026 | D · Potential for more than minimal harm, isolated | The 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, 2026 | D · Potential for more than minimal harm, isolated | The 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, 2026 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 27, 2026 | C · Potential for minimal harm, widespread | The 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, 2025 | 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. · from a complaint · F-0725 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The 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, pattern | 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 |
| Dec 7, 2021 | D · Potential for more than minimal harm, isolated | The 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 |
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 1 | K ▲ |
| 2024 | 5 | 0 | D |
| 2025 | 2 | 0 | F |
| 2026 | 7 | 0 | F |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.61 | 3.58 | 3.95 | bottom 6% in New York; bottom 5% in the U.S. |
| Registered Nurse hours | 0.34 | 0.68 | 0.69 | bottom 8% in New York; bottom 14% in the U.S. |
| Weekend total nurse staffing | 2.31 | 3.13 | 3.50 | bottom 6% in New York; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.48 | 0.48 | bottom 3% in New York; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 51.1 | 40.3 | 45.8 | bottom 23% in New York; bottom 34% in the U.S. |
| RN turnover (%) | 30.0 | 39.8 | 42.9 | top 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.
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
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.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Heritage Ministries Charitable Care Network INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/11/2008 |
| Burkhouse, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2014 |
| Burkhouse, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 06/14/2014 |
| Digregorio, Robin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2024 |
| Digregorio, Robin | Individual | ADP of the SNF | NOT APPLICABLE | 12/05/2025 |
| Fernandez, Gregory | Individual | Corporate Director | NOT APPLICABLE | 11/25/2024 |
| Fernandez, Gregory | Individual | Trustee of the SNF | NOT APPLICABLE | 11/25/2024 |
| Haglund, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 05/11/2020 |
| Haglund, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2024 |
| Haglund, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 05/11/2020 |
| Noll, Pamela | Individual | Corporate Director | NOT APPLICABLE | 11/25/2024 |
| Noll, Pamela | Individual | Trustee of the SNF | NOT APPLICABLE | 11/25/2024 |
| Persia, Albert | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Persia, Albert | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2023 |
| Spanos, Mary Ann | Individual | Corporate Director | NOT APPLICABLE | 11/25/2024 |
| Spanos, Mary Ann | Individual | Trustee of the SNF | NOT APPLICABLE | 11/25/2024 |
| Stark, Peter | Individual | Corporate Director | NOT APPLICABLE | 11/25/2024 |
| Stark, Peter | Individual | Trustee of the SNF | NOT APPLICABLE | 11/25/2024 |
| Wilcox, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2024 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Heritage Park Rehab & Skilled Nursing | 4.3 mi | Jamestown, NY | ★☆☆☆☆ | 1/5 | |
| Rouse Warren County Home | 19.3 mi | Youngsville, PA | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 2 closest →
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.
Facility data as of CMS processing date 2026-08-01. CCN 335721.
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