Greenfield Healthcare and Rehabilitation Center
1521 West 54th Street · Erie, PA · 16509 · 8148640671
133 certified beds For profit - Limited Liability company Chain: Abraham Smilow
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (56 in the current record)
-
Potential for harm · D April 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 24, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Actual harm · G January 27, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G January 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 24, 2026 · Quality of Life and Care
-
Potential for harm · D January 27, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 24, 2026 · Resident Rights
-
Potential for harm · E January 27, 2026
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.
Corrected February 24, 2026 · Resident Rights
-
Potential for harm · D January 27, 2026
Respond appropriately to all alleged violations.
Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 27, 2026
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected February 24, 2026 · Nursing and Physician Services
-
Potential for harm · E January 27, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected February 24, 2026 · Nursing and Physician Services
-
Potential for harm · E January 27, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 24, 2026 · Nursing and Physician Services
-
Potential for harm · E January 27, 2026
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.
Corrected February 24, 2026 · Pharmacy Service
-
Potential for harm · D January 27, 2026
Dispose of garbage and refuse properly.
Corrected February 24, 2026 · Nutrition and Dietary
-
Potential for harm · D January 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E January 27, 2026
Provide and implement an infection prevention and control program.
Corrected February 24, 2026 · Infection Control
-
No harm found · C January 27, 2026
Implement a program that monitors antibiotic use.
Corrected February 24, 2026 · Infection Control
-
Potential for harm · E January 8, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 8, 2026 · Resident Rights
-
Potential for harm · E January 8, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 8, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 8, 2026 · Quality of Life and Care
-
Potential for harm · E November 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 28, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E September 5, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected October 6, 2025 · Nursing and Physician Services
-
Potential for harm · D September 5, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 6, 2025 · Administration
-
Potential for harm · D July 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 29, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2025 · Resident Rights
-
Potential for harm · E March 18, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 4, 2025 · Nursing and Physician Services
-
Potential for harm · E February 4, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected March 28, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395262 · certified since October 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.