Nursing Care Index

Heritage Green Rehab & Skilled Nursing

Greenhurst, Chautauqua County, New York · CCN 335721 · Non-profit (Corporation) · part of Heritage Ministries (3 facilities, chain average 2 stars)

CMS rates Heritage Green Rehab & Skilled Nursing 1 of 5 overall as of August 2026. 134 certified beds, 116 residents a day on average. 16 citations on record from the current inspection cycles, 1 at immediate jeopardy; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 3 of 5

Staffing

Total nurse staffing2.4176 hours per resident per day
Registered nurses0.31742 hours per resident per day
Weekend total2.14038 hours per resident per day
Nursing staff turnover51.1% (registered nurses 30%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-27 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-04-28
2026-02-27
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-04-28
2026-02-27 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) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-28
2026-02-27 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-28
2026-02-27 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · tag F0577
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2026-04-28
2025-08-15
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-10-13
2025-08-15
complaint survey
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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-13
2024-02-01 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-31
2024-02-01 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-31
2024-02-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-31
2024-02-01
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-31
2024-02-01 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · tag F0742
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-31
2021-12-07 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2022-01-31
2021-12-07 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-01-31

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Heritage Ministries Charitable Care Network Inc.
Organization
5% or greater direct ownership interest100%2008-08-11
Burkhouse, Jessica
Individual
adp of the snf2014-06-14
Digregorio, Robin
Individual
adp of the snf2025-12-05
Haglund, Lisa
Individual
adp of the snf2020-05-11
Persia, Albert
Individual
adp of the snf2023-07-24
Fernandez, Gregory
Individual
corporate director2024-11-25
Noll, Pamela
Individual
corporate director2024-11-25
Spanos, Mary Ann
Individual
corporate director2024-11-25
Stark, Peter
Individual
corporate director2024-11-25
Haglund, Lisa
Individual
corporate officer2020-05-11
Burkhouse, Jessica
Individual
operational/managerial control2014-06-14
Digregorio, Robin
Individual
operational/managerial control2024-11-25
Haglund, Lisa
Individual
operational/managerial control2024-11-25
Persia, Albert
Individual
operational/managerial control2023-07-24
Wilcox, Mark
Individual
operational/managerial control2024-11-25
Fernandez, Gregory
Individual
trustee of the snf2024-11-25
Noll, Pamela
Individual
trustee of the snf2024-11-25
Spanos, Mary Ann
Individual
trustee of the snf2024-11-25
Stark, Peter
Individual
trustee of the snf2024-11-25

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Chautauqua County.