Cycle 1
Health 2024-04-16 · Fire 2024-04-16
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Springville, NY
Fiddlers Green Manor Rehab And Nursing Center
2-star overall rating with 2-star inspections with abuse icon flag with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
168 West Main Street, Springville, NY
(716) 592-4781
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Sherman Family
Operator or chain grouping
Approved since
1976-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.37
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.68
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,410
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9897
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.43
Performance 19.38% · Measure score 4.43 · Achievement 4.43 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.52
Performance 6.78% · Measure score 3.52 · Achievement 3.52 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.02
Baseline 59.68% · Performance 39.06% · Measure score 6.02 · Achievement 6.02 · Improvement 5.42
Adjusted total nurse staffing
0.54
Baseline 3 hours · Performance 3.23 hours · Measure score 0.54 · Achievement 0.54 · Improvement 0.33
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 6.3% |
| Discharge to community | 44.09% |
50.57%
6.5 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 38.64% · Lower 95% interval 31.89% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 44 · Denominator 44 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 44 |
| Discharge self-care score | 39.47% |
53.69%
14.2 pts worse
|
Numerator 15 · Denominator 38 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 19 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 2.27% |
2.29%
About the same
|
Numerator 1 · Denominator 44 · Adjusted rate 1.8% |
| Healthcare-associated infections requiring hospitalization | 6.78% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 3.37% |
| Staff COVID-19 vaccination coverage | 18.9% |
8.2%
10.7 pts better
|
Numerator 24 · Denominator 127 |
| Staff flu vaccination coverage | 84.62% |
42%
42.6 pts better
|
Numerator 110 · Denominator 130 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 19 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 5 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.0%
0.4 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.9% · Q3 4.5% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.0% |
18.5%
11.5 pts better
|
11.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · Q3 7.7% · Q4 11.3% · 4Q avg 7.0% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
6.1%
1.5 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.0% · Q3 9.1% · Q4 7.6% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
13.5%
1.1 pts worse
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 14.5% · Q3 13.4% · Q4 13.6% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
14.8%
0.3 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.0% · Q3 15.2% · Q4 16.7% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.1% |
15.1%
21 pts worse
|
16.3%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.7% · Q2 38.8% · Q3 28.3% · Q4 33.8% · 4Q avg 36.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
15.5%
8.4 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 34.9% · Q3 16.4% · Q4 24.2% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.6%
0.2 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.4%
1.6 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.4% · Q3 6.1% · Q4 3.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
20.8%
0.2 pts worse
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 24.8% · Q3 19.7% · Q4 26.0% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.9%
2.2 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.6% · Q3 5.2% · Q4 2.6% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
76.7%
16.9 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 98.1% · Q3 93.3% · Q4 91.1% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
9.7%
4.6 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 5.6% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.6% |
78.8%
11.8 pts better
|
79.7%
10.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
20.6%
1.7 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 19.4% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-11 · Fire 2022-08-11
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2019-10-07 · Fire 2019-10-07
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-04-16
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-24
E · Potential for more than minimal harm
2024-04-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-24
E · Potential for more than minimal harm
2024-04-16
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-04-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-24
E · Potential for more than minimal harm
2022-08-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-09-19
E · Potential for more than minimal harm
2022-08-11
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-09-09
E · Potential for more than minimal harm
2019-10-07
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Not marked corrected
D · Potential for more than minimal harm
2019-10-07
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2019-12-05
Inspection history
Recent health citations
G · Actual harm
2025-11-10
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
G · Actual harm
2025-11-10
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
D · Potential for more than minimal harm
2024-04-16
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-24
D · Potential for more than minimal harm
2022-08-11
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-09
D · Potential for more than minimal harm
2022-08-11
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-09
D · Potential for more than minimal harm
2019-10-07
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-12-05
D · Potential for more than minimal harm
2019-10-07
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-12-05
Penalties and ownership
What sits behind the stars
Ownership
Goldstein, Jeffrey
5% Or Greater Direct Ownership Interest · Individual
Lowenbraun, Chaim
5% Or Greater Direct Ownership Interest · Individual
Fasolino, Courtney
W-2 Managing Employee · Individual
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3-star overall rating with 2-star inspections with abuse icon flag with $125,453 in total fines with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
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2-star overall rating with 2-star inspections with $61,162 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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