Heritage Green Rehab & Skilled Nursing

3023 Route 430 · Greenhurst, NY · 14742 · 7164835000

134 certified beds Non profit - Corporation Chain: Heritage Ministries

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Total nurse staffing below 3.0 hours per resident-day

2.61 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 94
Staffing 20% 44
Federal penalties 15% 100
Trend 10% 21
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.613.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.30≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D February 27, 2026

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

    Corrected April 28, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2026

    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.

    Corrected April 28, 2026 · Quality of Life and Care

  • Potential for harm · F February 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 April 28, 2026 · Nursing and Physician Services

  • Potential for harm · D February 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 April 28, 2026 · Pharmacy Service

  • Potential for harm · D February 27, 2026

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

    Corrected April 28, 2026 · Nutrition and Dietary

  • Potential for harm · F February 27, 2026 · found via complaint

    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.

    Corrected April 28, 2026 · Nursing and Physician Services

  • No harm found · C February 27, 2026

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

    Corrected April 28, 2026 · Resident Rights

  • Potential for harm · D August 15, 2025 · found via complaint

    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 October 13, 2025 · Resident Rights

  • Potential for harm · F August 15, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected October 13, 2025 · Nursing and Physician Services

  • Potential for harm · D February 1, 2024

    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 March 31, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

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

    Corrected March 31, 2024 · Resident Rights

  • Potential for harm · D February 1, 2024

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

    Corrected March 31, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024

    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.

    Corrected March 31, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024 · found via complaint

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

    Corrected March 31, 2024 · Quality of Life and Care

  • Immediate jeopardy · K December 7, 2021

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected January 31, 2022 · Nursing and Physician Services

  • Potential for harm · D December 7, 2021

    Ensure that residents are free from significant medication errors.

    Corrected January 31, 2022 · Pharmacy Service

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.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335721 · certified since May 14, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.