Federal inspection record · CMS data as of October 1, 2026
Greenfield Healthcare And Rehabilitation Center
1521 West 54th Street, Erie, PA · (814) 864-0671
- Cited for abuse (CMS abuse icon)
- Certified beds
- 133
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Abraham Smilow
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1979
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Pennsylvania homes
Greenfield Healthcare And Rehabilitation Center carries 143 inspection points. That is fewer than 15% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: 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★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania 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
56 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning11E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights10E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nursing and Physician Services8F
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- C
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service4E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
Nutrition and Dietary1D
- D
Dispose of garbage and refuse properly.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2026-01-27
21 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-02-04
20 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (5 deficiencies)
2024-02-02
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 16 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 58% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,358 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-08 | Fine | $10,358 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.8 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 1.7 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine57.2 pts worse | 30.6% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine61.4 pts worse | 32.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.7 pts better | 4.1% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 4.3% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 15.4% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.4 pts worse | 27.0% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.4 pts worse | 23.8% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.4 pts worse | 25.8% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better | 20.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine37.6 pts worse | 33.2% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 13.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine52.9 pts worse | 18.0% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts better | 11.1% | 22.0% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gfd SNF Opco Holding Company LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Smilow, Abraham | 5% Or Greater Indirect Ownership Interest · Individual | 95% | 7 facilities |
| Gfd SNF Propco Holding Company LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hillel Tropper 2016 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Kachel, Elizabeth | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kachel, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kachel, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lads Avenue Associates LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Moshe Trooper 2016 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Rohrbach, Charles | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Rohrbach, Charles | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Rohrbach, Charles | Adp Of The SNF · Individual | 0% | 5 facilities |
| Smilow, Abraham | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Smilow, Abraham | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Smilow, Abraham | Adp Of The SNF · Individual | 0% | 7 facilities |
| T3 Real Estate Initiatives LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Travitsky, Baruch | Adp Of The SNF · Individual | 0% | 5 facilities |
| Western Reserve Propco Company LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wpg Consulting Company LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4C
- C
List the names and contact information of those in the facility.
- C
Establish emergency prep training and testing.
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Millcreek Manor
Erie, PA · Lecom Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 13 min
- Fines
- $100,240
-
Lecom At Presque Isle, Inc
Erie, PA · Lecom Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
Forestview
Erie, PA · Asbury Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0