Federal inspection record · CMS data as of October 1, 2026

Greene Meadows Nursing and Rehabilitation Center

161 Jefferson Heights, Catskill, NY · (518) 943-9380

CMS overall rating

2 of 5

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Certified beds
120
Residents per day
111
Ownership
For-Profit
Chain
Jonathan Bleier
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1976

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New York homes

Greene Meadows Nursing and Rehabilitation Center carries 112.25 inspection points. That is fewer than 12% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 112.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–12 pts
  • 4★ 12–27 pts
  • 3★ 27–46 pts
  • 2★ 46–82 pts
  • 1★ over 82 pts

Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

28 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

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

    August 10, 2026 · Standard inspection · Quality of Life and Care · F689 · Corrected September 22, 2026

Everything else, by area of care

Nutrition and Dietary9E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 10, 2026 · Standard · F812 · Corrected September 25, 2026

  2. E

    Dispose of garbage and refuse properly.

    August 10, 2026 · Standard · F814 · Corrected September 25, 2026

  3. D

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

    August 10, 2026 · Standard · F804 · Corrected September 25, 2026

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 14, 2023 · Standard · F812 · Corrected November 13, 2023

  5. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    September 14, 2023 · Standard · F813 · Corrected November 13, 2023

  6. D

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

    September 14, 2023 · Standard · F804 · Corrected November 13, 2023

  7. D

    Dispose of garbage and refuse properly.

    September 14, 2023 · Standard · F814 · Corrected November 13, 2023

  8. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 18, 2021 · Standard · F812 · Corrected August 17, 2021

  9. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    June 18, 2021 · Standard · F813 · Corrected August 17, 2021

Resident Rights8E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 10, 2026 · Complaint · F550 · Corrected September 25, 2026

  2. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    August 10, 2026 · Standard · F552 · Corrected September 25, 2026

  3. D

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

    August 10, 2026 · Complaint · F580 · Corrected September 25, 2026

  4. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    September 14, 2023 · Standard · F584 · Corrected November 13, 2023

  5. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 14, 2023 · Standard · F550 · Corrected November 13, 2023

  6. D

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

    September 14, 2023 · Standard · F577 · Corrected November 13, 2023

  7. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 14, 2023 · Standard · F585 · Corrected November 13, 2023

  8. D

    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.

    June 18, 2021 · Standard · F578 · Corrected August 17, 2021

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    August 10, 2026 · Complaint · F609 · Corrected September 25, 2026

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    June 5, 2026 · Complaint · F602 · Corrected October 28, 2023

  3. D

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

    June 5, 2026 · Complaint · F609 · Corrected June 12, 2026

Quality of Life and Care3D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 10, 2026 · Standard · F695 · Corrected September 25, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 14, 2023 · Standard · F684 · Corrected November 13, 2023

  3. D

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

    September 14, 2023 · Standard · F689 · Corrected November 13, 2023

Resident Assessment and Care Planning2D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 10, 2026 · Standard · F656 · Corrected September 25, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 14, 2023 · Standard · F656 · Corrected November 15, 2023

Nursing and Physician Services1D
  1. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    August 10, 2026 · Complaint · F726 · Corrected September 25, 2026

Pharmacy Service1E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 18, 2021 · Standard · F755 · Corrected August 17, 2021

Inspection history

  1. 2026-08-10

    13 health deficiencies · 12 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2023-09-14

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

  3. 2021-06-18

    4 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 7 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

4 h 7 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 8% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better0.91.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better100.0%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better99.1%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.6%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms19.2 pts better0.9%20.1%13.5%
Percentage of long-stay residents who lose too much weight2 pts better3.7%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts worse18.1%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication9 pts worse22.7%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.3 pts worse15.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse15.5%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.9 pts better0.3%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts worse30.6%18.6%18.3%
Percentage of long-stay residents with pressure ulcers3.4 pts better3.1%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.7 pts better99.3%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better4.8%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse1.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.1 pts better100.0%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts better15.3%20.6%23.4%

·

Who owns and runs it

9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bleier, Jonathan5% Or Greater Direct Ownership Interest · Individual37%20 facilities
Sod, Yaakov5% Or Greater Direct Ownership Interest · Individual10%13 facilities
Bleier, JonathanCorporate Officer · Individual0%20 facilities
Fuchs, BernardCorporate Officer · Individual0%17 facilities
Maliangos, NicoletOperational/Managerial Control · Individual0%5 facilities
Peckman, BruceCorporate Officer · Individual0%2 facilities
Sod, YaakovCorporate Officer · Individual0%13 facilities
Zbytniewski, ToddW-2 Managing Employee · Individual0%2 facilities
Zbytniewski, ToddOperational/Managerial Control · Individual0%2 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 10, 2026 · K353 · Corrected September 25, 2026

  2. E

    Have an enclosure around a vertical opening shaft.

    August 10, 2026 · K311 · Corrected September 25, 2026

  3. E

    Install a fire alarm system that can be heard throughout the facility.

    August 10, 2026 · K341 · Corrected October 2, 2026

  4. E

    Provide properly protected cooking facilities.

    June 18, 2021 · K324 · Corrected August 17, 2021

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 18, 2021 · K372 · Corrected August 25, 2021

  6. D

    Install corridor and hallway doors that block smoke.

    June 18, 2021 · K363 · Corrected August 17, 2021

Gas, Vacuum, and Electrical Systems4F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    August 10, 2026 · K921 · Corrected October 2, 2026

  2. E

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

    August 10, 2026 · K918 · Corrected October 2, 2026

  3. D

    Have proper medical gas storage and administration areas.

    September 14, 2023 · K923 · Corrected October 23, 2023

  4. E

    Ensure that testing and maintenance of electrical equipment is performed.

    June 18, 2021 · K921 · Corrected August 17, 2021

Egress3E
  1. E

    Have exits that are accessible at all times.

    August 10, 2026 · K271 · Corrected September 25, 2026

  2. E

    Install proper backup exit lighting.

    August 10, 2026 · K281 · Corrected October 2, 2026

  3. E

    Have properly located and lighted "Exit" signs.

    August 10, 2026 · K293 · Corrected September 25, 2026

Services2F
  1. F

    Have elevators that firefighters can control in the event of a fire.

    August 10, 2026 · K531 · Corrected September 25, 2026

  2. D

    Have elevators that firefighters can control in the event of a fire.

    September 14, 2023 · K531 · Corrected December 4, 2023

Miscellaneous2F
  1. E

    Have simulated fire drills held at unexpected times.

    August 10, 2026 · K712 · Corrected September 25, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    June 18, 2021 · K712 · Corrected August 17, 2021

Emergency Preparedness1F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 10, 2026 · E4 · Corrected October 2, 2026

Construction1D
  1. D

    Use approved construction type or materials.

    August 10, 2026 · K161 · Corrected October 2, 2026

·

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