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Nursing HomeMedicaid Investigative

Heritage Green Rehab & Skilled Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3023 Route 430, Greenhurst, NY 14742134 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 25 Google reviews

5
4
3
2
1
Heritage Green Rehab & Skilled Nursing Nursing Home in Greenhurst, NY — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 6.0)

Bottom 25% in NY · Critically understaffed (RN) · Worst in HERITAGE MINISTRIES chain · No penalties on record

Source: Medicare data

What this means for your family

While the facility has a long-standing reputation for being clean and professional, the most recent feedback indicates a potential decline in responsiveness. When touring, we recommend asking specifically about current staff-to-resident ratios and the process for escalating concerns if a family member's needs are not being met promptly.

Google Reviews

Google Reviews

25 reviews on Google
Heritage Green Rehab & Skilled Nursing receives high praise for its clean, peaceful environment and professional staff who treat residents with dignity. However, a recent negative review highlights significant concerns regarding communication difficulties and slow response times to resident needs, suggesting potential inconsistencies in care quality.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Friendly and professional staff
  • Dignified resident care
  • Pleasant, peaceful atmosphere

Concerns

  • Poor communication and slow response to resident needs

Rating Trends

Tap a year to see what changed

2344.42017(15)4.62018(8)5.02022(1)3.02025(3)

Distribution · 27 analyzed

5
14
4
10
3
2
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that resident call lights are answered in a timely manner?
  • 2I noticed some feedback regarding communication; could you walk me through the typical process for how family members receive updates on their loved one's daily health and well-being?
  • 3With seven state violations noted recently, what specific steps has the facility taken to address these concerns and improve the overall quality of care?
  • 4While the facility is known for its peaceful environment, how do you ensure that residents receive consistent, one-on-one attention throughout the day?
  • 5Can you describe the daily activity schedule and how you tailor these programs to keep residents engaged and socially active?
  • 6In the event of a medical emergency, what is your protocol for stabilizing a resident and how quickly is the family typically notified?

Personalized based on this facility's data


Key Review Excerpts

Very clean professional and the staff represent dignity and respect.outta all the nursing facilities I've been in this is one of the best.

Visitor/Professional · 2022★★★★★

Very caring place had to take my grandma there and she loves it there

Long-term resident's family · 2018★★★★★

Communication with staff was often difficult, and important needs or requests were not addressed in a timely manner. I felt that residents were not receiving the attention, supervision, or support they needed.

Visitor/Observer · 2025☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
2.61hrs
64%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

11

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility68.2%
Worse than Avg
Here
68.2%
US
93.4%
NY
91.3%
Chautauqua
96.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
NY
18.9%
Chautauqua
1.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
15.3%
NY
13.8%
Chautauqua
17.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
15.5%
NY
13.8%
Chautauqua
19.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.5%
NY
13.3%
Chautauqua
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
14.4%
NY
14.8%
Chautauqua
15.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility44.2%
Worse than Avg
Here
44.2%
US
81.8%
NY
77.0%
Chautauqua
79.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.0%
Worse than Avg
Here
68.0%
US
79.8%
NY
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NY
1.2%
Chautauqua
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Above state avg (7.6)
4 complaint-triggered

Heritage Green shows recurring issues with nursing staffing levels, fire safety systems, and resident rights that persist across multiple surveys, including a recent family complaint about inadequate staffing. The facility has faced 23 deficiencies over four surveys, with families filing three complaints about concerns including staffing shortages and accident prevention, though all issues have reportedly been corrected by the facility.

Feb 27, 2026Routine
15
0725Potential for harm · WidespreadCorrected

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0700Potential for harm · PatternCorrected

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) Correctly install and maintain the bed rail.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

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

Feb 27, 2026Complaint
1
0727Potential for harm · WidespreadCorrected

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.

Aug 15, 2025Complaint
2
0725Potential for harm · WidespreadCorrected

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Feb 1, 2024Routine
8
0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Feb 1, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 7, 2021Routine
5
0725Immediate jeopardy · PatternCorrected

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heritage Green Rehab & Skilled Nursing

Organization Type

nonprofit

Chain Affiliation

Chain Name

Heritage Ministries

Chain Size

4 facilities nationwide

Chain avg rating: 2.5/5 · Rank 4 of 4 (Worst)

Ownership & Management

Owners

Heritage Ministries Charitable Care Network INC.

Owner · Organization

100%

Key personnel

Fernandez, GregoryOfficer / DirectorNoll, PamelaOfficer / DirectorSpanos, Mary AnnOfficer / DirectorStark, PeterOfficer / DirectorHaglund, LisaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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