Greenfield Healthcare and Rehabilitation Center
1521 West 54th Street, Erie, PA 16509
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Follow this homeGreenfield Healthcare and Rehabilitation Center is a nursing home in Erie, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJanuary 27, 2026 (9 months ago)
- Health citations since November 6, 202356 (Pennsylvania average 31)
- Fines in the past three years1, $10,358 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from January 8, 2026 from $15,935 to $10,358.
Health inspection on August 21, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS has cited this home for F0580 3 times since 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS has cited this home for F0684 3 times since 2024.
CMS update of April 29, 2026
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on April 24, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 12, 2026.
CMS has cited this home for F0689 3 times since 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on June 12, 2026.
CMS has cited this home for F0842 5 times since 2024.
CMS update of February 25, 2026
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Health inspection on January 27, 2026
13 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
113 of 656 Pennsylvania homes (17%) got a citation at the actual harm level in 2026.
Show the 13 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on February 24, 2026.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 24, 2026.
Citation F0578. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 24, 2026.
Citation F0711. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0711 3 times since 2025.
Citation F0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
CMS lists it as corrected on February 24, 2026.
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0725 2 times since 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0761 3 times since 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0880 4 times since 2023.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0561 2 times since 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on February 24, 2026.
CMS has cited this home for F0610 2 times since 2024.
Citation F0814. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on February 24, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 24, 2026.
Citation F0881. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on February 24, 2026.
Fire safety inspection on January 27, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0004. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on February 24, 2026.
Citation E0030. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on February 24, 2026.
Citation E0036. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on February 24, 2026.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on February 24, 2026.
Health inspection on January 8, 2026
3 citationsCMS lists this as a complaint inspection.
CMS fine of $10,358 on January 8, 2026.
Show the 3 citations
Citation F0628. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on February 8, 2026.
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on February 8, 2026.
CMS has cited this home for F0655 2 times since 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 8, 2026.
Health inspection on November 21, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on November 28, 2025.
CMS update of November 20, 2025
Ownership
CMS lists this home under a new chain.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0347 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0371 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0912 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on January 23, 2025.
Fire safety citation
CMS removed citation K0923 from the fire safety inspection on January 23, 2025.
Health inspection on September 5, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0711. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on October 6, 2025.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on October 6, 2025.
CMS update of July 30, 2025
Ownership
CMS no longer lists a chain for this home.
Health inspection on July 10, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 29, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 18, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0711. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on April 4, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 4, 2025.
Health inspection on February 4, 2025
13 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 13 citations
Citation F0947. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on March 28, 2025.
Citation F0661. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS lists it as corrected on March 28, 2025.
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on March 28, 2025.
Citation F0791. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on March 28, 2025.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 28, 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 28, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 28, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 28, 2025.
CMS has cited this home for F0695 2 times since 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on March 28, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on March 28, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 28, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 28, 2025.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on March 28, 2025.
Health inspection on November 18, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on December 10, 2024.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 10, 2024.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of May 29, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Health inspection on April 3, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on April 15, 2024.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
CMS update of February 29, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Health inspection on February 2, 2024
12 citationsCMS lists this as a standard inspection.
Show the 12 citations
Citation F0908. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on March 14, 2024.
Citation F0553. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on March 14, 2024.
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on March 14, 2024.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on March 14, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on March 14, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 14, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 14, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 14, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on March 14, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 14, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 14, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 14, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on November 6, 2023
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on December 5, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 5, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (814) 864-0671
- Last standard health inspection
- January 27, 2026 (9 months ago)
- Certified beds
- 133
- Residents per day, on average
- 65
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Western Reserve SNF Operating Company LLC
- Chain
- Abraham Smilow
- Takes part in
- Medicare and Medicaid
More health citations than the Pennsylvania average (56 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GFD SNF OPCO HOLDING COMPANY LLC5% or greater direct ownership interest · 100% · since 04/01/2023
- SMILOW, ABRAHAM5% or greater indirect ownership interest · 95% · since 04/01/2023
- KACHEL, ELIZABETHOperational/managerial control · not applicable · since 06/14/2023
- ROHRBACH, CHARLESOperational/managerial control · not applicable · since 04/01/2023
- SMILOW, ABRAHAMOperational/managerial control · not applicable · since 04/01/2023
Questions
When was Greenfield Healthcare and Rehabilitation Center last inspected?
CMS lists January 27, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Greenfield Healthcare and Rehabilitation Center have?
CMS lists 56 health citations since November 6, 2023. CMS also calls these deficiencies.
Has Greenfield Healthcare and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $10,358 in total.
What is the CMS star rating of Greenfield Healthcare and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Greenfield Healthcare and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.