Complaint Investigation

Greenfield Healthcare And Rehabilitation Center

September 5, 2025 · Erie, PA · 1521 West 54th Street

Citations 2

CMS Rating 1/5

Beds 133

Provider ID 395262

Healthcare Facility

Greenfield Healthcare And Rehabilitation Center

Erie, PA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

GREENFIELD HEALTHCARE AND REHABILITATION CENTER in ERIE, PA — inspection on September 5, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0711

Nursing and Physician Services Deficiencies

Review of Resident R1's clinical record lacked evidence of the last time his/her physician reviewed, signed, and dated his/her physician orders.

Resident R2's clinical record revealed an admission date of 9/25/22, with diagnoses that included diffuse traumatic brain injury (a head injury that has caused damage across multiple areas of the brain), and hypertension (high blood pressure).

Review of Resident R2's clinical record revealed the last time his/her physician reviewed, signed, and dated his/her physician orders was on 3/14/25.

Resident R3's clinical record revealed an admission date of 5/2/24, with diagnoses that included chronic obstructive pulmonary disease (COPD-condiiton when your lungs do not have adequate air flow), and diabetes (a health condition that is caused by the body's inability to produce enough insulin) Review of Resident R3's clinical record revealed the last time his/her physician reviewed, signed, and dated his/her physician orders was on 3/14/25.

Resident R4's clinical record revealed an admission date of 6/18/25, with diagnoses that included diabetes and hyperlipidemia.

Review of Resident R4's clinical record lacked evidence of the last time his/her physician reviewed, signed, and dated his/her physician orders.

Resident R5's clinical record revealed an admission date of 2/26/25, with diagnosis that included diabetes and COPD.

Review of Resident R5's clinical record revealed the last time his/her physician reviewed, signed, and dated his/her physician orders was on 3/14/25.

During an interview on 9/5/25, at 11:05 a.m. the Nursing Home Administrator (NHA) confirmed that physician orders for Residents R1, R2, R3, R4, and R5 were past due to be reviewed and signed by the physician.

The NHA also confirmed that physician orders should be reviewed and signed with every physician visit on admission then every 30 days for the first 90 days then every 60 days. 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa.

Code 201.18(b)(1)(3) Management 28 Pa.

Code 211.5(f)(i) Medical records Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

395262 09/05/2025

Greenfield Healthcare and Rehabilitation Center 1521 West 54th Street Erie, PA 16509

FF0867

Administration Deficiencies

During an interview on 9/5/25, at 2:37 p.m. the Nursing Home Administrator confirmed that the results of the current survey, cited under F-F711, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding physician orders being reviewed and signed by the physician as required.

Refer to F-F711 28 Pa.

Code 201.14(a) Responsibility of Licensee 28 Pa.

Code 201.18(e)(1) Management

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ERIE, PA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GREENFIELD HEALTHCARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.