CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3351822026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Greenfield Health & Rehab Center

5949 Broadway · Lancaster, NY 14086 · Erie County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds160CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-08-0852025-08-084
Cycle 22023-12-1862023-12-189
Cycle 32022-05-3112022-05-310
02 / CITATION DETAIL

25 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-25 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint
2025-08-08 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · HEALTHF0694Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · HEALTHF0847Severity B · pattern; potential for minimal harm

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Correction field: Deficient, Provider has date of correction · 2025-10-27
2025-08-08 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · FIREK0345Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · FIREK0521Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-08-08 · FIREK0754Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

Correction field: Deficient, Provider has date of correction · 2025-09-21
2023-12-18 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2024-02-01
2023-12-18 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2024-02-01 · complaint
2023-12-18 · HEALTHF0604Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction field: Deficient, Provider has date of correction · 2024-02-01 · complaint
2023-12-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-02-01
2023-12-18 · HEALTHF0881Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Correction field: Deficient, Provider has date of correction · 2024-02-01
2023-12-18 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0712Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0754Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0918Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-12
2023-12-18 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-02-12
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • INGWERSEN, CANDYCEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/01/2012
  • KOENIG, CHRISTOPHERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/02/2016
  • LANKES, CAROLIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/24/2008
  • MERTZLUFFT, PAULIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/15/2008
  • CHIZUK, STEVENIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/30/2021
  • KOENIG, CHRISTOPHERIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 05/02/2016
  • AKKINEPALLY, SITAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • CHIZUK, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/30/2021
  • KOENIG, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/19/2016
  • SETLOCK, SHANEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/19/2023
  • NIAGARA LUTHERAN HEALTH SYSTEM, INC.Organization · ADP OF THE SNF
    NOT APPLICABLE · since 04/18/1996
  • AKKINEPALLY, SITAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2023
  • CHIZUK, STEVENIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/31/2021
  • KOENIG, CHRISTOPHERIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/19/2016
  • SETLOCK, SHANEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/19/2023

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.58per resident day
RN hours0.55per resident day
Weekend nurse hours4.03per resident day
Staff turnover48.9%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.