Skilled nursing facility · CMS certification number 335182
Greenfield Health & Rehab Center
LANCASTER, New York · Medicare and Medicaid · 160 certified beds in Care Compare
Greenfield Health & Rehab Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue fell from $24.7M in fiscal year 2023 to $24.3M in fiscal year 2024.
- Its result from service to patients: −$355K (2022), −$1.9M (2023), −$2.2M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $24.3M ranks 239th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- All 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Greenfield Health & Rehab Center: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1434791 | 2023 · report 1390701 | 2022 · report 1359335 | 2021 · report 1332786 | 2020 · report 1297088 | 2019 · report 1259214 | 2018 · report 1236145 | 2017 · report 1210956 | 2016 · report 1169414 | 2015 · report 1123092 | 2014 · report 1107105 | 2013 · report 1088032 | 2012 · report 1043578 | 2011 · report 1005902 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | July 31, 2024 | July 20, 2023 | September 19, 2022 | August 27, 2021 | June 30, 2020 | July 10, 2019 | August 29, 2018 | July 18, 2017 | May 3, 2016 | August 7, 2015 | April 16, 2015 | July 24, 2013 | September 17, 2012 |
| Total patient revenue | $35,752,963 | $34,369,725 | $27,841,131 | $27,679,455 | $29,042,466 | $29,865,277 | $28,883,377 | $28,306,075 | — | — | — | $21,779,192 | $20,517,612 | $20,006,355 |
| Contractual allowances and discounts | $11,450,765 | $9,670,332 | $6,044,717 | $6,802,879 | $8,398,904 | $7,746,238 | $8,101,160 | $8,485,718 | — | — | — | $5,868,977 | $5,024,984 | $4,126,965 |
| Net patient revenue | $24,302,198 | $24,699,393 | $21,796,414 | $20,876,576 | $20,643,562 | $22,119,039 | $20,782,217 | $19,820,357 | — | — | — | $15,910,215 | $15,492,628 | $15,879,390 |
| Total operating expenses | $26,506,433 | $26,619,579 | $22,151,579 | $21,538,485 | $21,842,460 | $20,586,481 | $20,299,625 | $19,907,207 | — | — | — | $16,070,611 | $16,361,808 | $15,821,464 |
| Net income from service to patients | −$2,204,235 | −$1,920,186 | −$355,165 | −$661,909 | −$1,198,898 | $1,532,558 | $482,592 | −$86,850 | — | — | — | −$160,396 | −$869,180 | $57,926 |
| Total other income | $358,573 | $221,210 | $432,481 | $2,587,856 | $1,254,684 | $199,210 | $155,513 | $143,694 | — | — | — | $162,430 | $166,252 | $173,659 |
| Net income after other income | −$1,845,662 | −$1,698,976 | $77,316 | $1,925,947 | $55,786 | $1,731,768 | $638,105 | $56,844 | — | — | — | $2,034 | −$702,928 | $231,585 |
| Net income | −$1,845,662 | −$1,698,976 | $77,316 | $1,925,947 | $55,786 | $1,731,768 | $637,683 | $56,574 | — | — | — | $2,034 | −$702,928 | $230,062 |
| Total facility beds, all components | 160 | 160 | 160 | 160 | 160 | 160 | 160 | 160 | — | — | — | 162 | 162 | 162 |
| Bed days available, all components | 58,560 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 4,253 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 19,639 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 30,991 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 54,883 | 55,005 | 50,468 | 49,013 | 53,597 | 56,020 | 55,537 | 55,901 | — | — | — | 54,269 | 54,694 | 54,895 |
| Medicare discharges | 143 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 69 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 683 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 895 | 907 | 725 | 749 | 666 | 976 | 1,010 | 1,084 | — | — | — | 1,095 | 1,133 | 1,089 |
| Average length of stay, Medicare, in days | 29.74 | 35.63 | 30.43 | 46.2 | 31.92 | 23.5 | 22.69 | 18.9 | — | — | — | 19.84 | 23.54 | 23.38 |
| Average length of stay, Medicaid, in days | 284.62 | 379.15 | 297.51 | 406.93 | — | — | — | — | — | — | — | — | — | — |
| Average length of stay, all patients, in days | 61.32 | 60.64 | 69.61 | 65.44 | 80.48 | 57.4 | 54.99 | 51.57 | — | — | — | 49.56 | 48.27 | 50.41 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2016, 2015, 2014.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 416163 | 2009 · report 386557 | 2008 · report 353472 | 2007 · report 332738 | 2006 · report 308326 | 2005 · report 274610 | 2004 · report 236435 | 2003 · report 237907 | 2002 · report 194774 | 2001 · report 194313 | 2000 · report 193579 | 1999 · report 193590 | 1998 · report 266952 | 1997 · report 36409 | 1996 · report 36408 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | October 2, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | — | — | 274 | — | — |
| Processed by CMS | August 24, 2011 | August 27, 2010 | July 31, 2009 | January 27, 2009 | May 6, 2008 | March 13, 2007 | November 9, 2005 | December 1, 2005 | September 21, 2004 | September 21, 2004 | September 1, 2004 | September 1, 2004 | November 22, 2006 | May 18, 1999 | June 9, 1998 |
| Net patient revenue | $15,237,677 | $15,568,515 | $15,143,330 | $14,503,556 | $14,202,464 | $13,622,272 | $13,449,109 | $12,675,305 | $11,198,731 | $10,475,530 | $10,246,524 | $9,071,909 | $4,060,207 | $5,454,676 | $5,483,152 |
| Total operating expenses | $15,274,782 | $15,249,769 | $15,364,204 | $14,254,623 | $13,533,381 | $13,054,450 | $12,588,069 | $11,764,389 | $11,101,780 | $10,787,035 | $10,021,270 | $9,827,673 | $4,457,651 | $5,427,537 | $5,464,576 |
| Net income from service to patients | −$37,105 | $318,746 | −$220,874 | $248,933 | $669,083 | $567,822 | $861,040 | $910,916 | $96,951 | −$311,505 | $225,254 | −$755,764 | −$397,444 | $27,139 | $18,576 |
| Total other income | $154,123 | $333,032 | $1,295,611 | $198,537 | $184,699 | $151,977 | $138,931 | $104,527 | $106,144 | $114,616 | $99,982 | $92,054 | $26,778 | $523,279 | $74,267 |
| Total other expenses | — | — | — | — | $48,087 | — | — | — | — | — | — | — | $955,291 | — | — |
| Net income | $117,018 | $651,778 | $1,074,737 | $447,470 | $805,695 | $719,799 | $999,971 | $1,015,443 | $203,095 | −$196,889 | $325,236 | −$663,710 | −$1,325,957 | $550,418 | $92,843 |
| Total facility beds, all components | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 162 | 160 | 160 | 160 | 134 | 134 | 134 |
| Total patient days, all components | 55,462 | 55,037 | 54,676 | 54,753 | 56,053 | 55,643 | 56,621 | 55,466 | 55,421 | 55,178 | 56,049 | 55,525 | 34,951 | 47,081 | 47,416 |
| Total discharges, all components | 1,095 | 1,106 | 1,037 | 992 | 931 | 925 | 849 | 823 | 851 | 746 | 633 | 602 | 213 | 63 | 75 |
| Average length of stay, Medicare, in days | 22.13 | 25.05 | 25.29 | 22.63 | 21.41 | 21.17 | 20.14 | 20.67 | 21.77 | 21.22 | 22.11 | 23.36 | 65.16 | 176.06 | 183.41 |
| Average length of stay, all patients, in days | 50.65 | 49.76 | 52.73 | 55.19 | 60.21 | 60.15 | 66.69 | 67.39 | 65.12 | 73.97 | 88.55 | 92.23 | 164.09 | 747.32 | 632.21 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Greenfield Health & Rehab Center: nurse staffing hours by quarter →
Who owns Greenfield Health & Rehab Center, as filed with CMS
Care Compare
- ADP OF THE SNF: AKKINEPALLY, SITA (individual), since 01/01/2023; CHIZUK, STEVEN (individual), since 08/31/2021; KOENIG, CHRISTOPHER (individual), since 04/19/2016; NIAGARA LUTHERAN HEALTH SYSTEM, INC. (organization), since 04/18/1996; SETLOCK, SHANE (individual), since 06/19/2023
- CORPORATE DIRECTOR: INGWERSEN, CANDYCE (individual), since 11/01/2012; KOENIG, CHRISTOPHER (individual), since 05/02/2016; LANKES, CAROL (individual), since 07/24/2008; MERTZLUFFT, PAUL (individual), since 07/15/2008
- CORPORATE OFFICER: CHIZUK, STEVEN (individual), since 08/30/2021; KOENIG, CHRISTOPHER (individual), since 05/02/2016
- OPERATIONAL/MANAGERIAL CONTROL: AKKINEPALLY, SITA (individual), since 01/01/2023; CHIZUK, STEVEN (individual), since 08/30/2021; KOENIG, CHRISTOPHER (individual), since 04/19/2016; SETLOCK, SHANE (individual), since 06/19/2023
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of NIAGARA LUTHERAN DEVELOPMENT, INC. (enrollment ID O20080718000141).
- ADP OF THE SNF: CHRISTOPHER KOENIG (individual), since 04/19/2016; NIAGARA LUTHERAN HEALTH SYSTEM, INC. (organization), since 04/18/1996; SHANE DANIEL SETLOCK (individual), since 06/19/2023; SITA AKKINEPALLY (individual), since 01/01/2023; STEVEN CHIZUK (individual), since 08/31/2021
- CORPORATE DIRECTOR: CANDYCE INGWERSEN (individual), since 11/01/2012; CAROL LANKES (individual), since 07/24/2008; CHRISTOPHER KOENIG (individual), since 05/02/2016; PAUL MERTZLUFFT (individual), since 07/15/2008
- CORPORATE OFFICER: CHRISTOPHER KOENIG (individual), since 05/02/2016; STEVEN CHIZUK (individual), since 08/30/2021
- OPERATIONAL/MANAGERIAL CONTROL: CHRISTOPHER KOENIG (individual), since 04/19/2016; SHANE DANIEL SETLOCK (individual), since 06/19/2023; SITA AKKINEPALLY (individual), since 01/01/2023; STEVEN CHIZUK (individual), since 08/30/2021
Ownership percentage for each: not stated in the filing.
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: CHRISTOPHER KOENIG; SHANE DANIEL SETLOCK; SITA AKKINEPALLY; STEVEN CHIZUK; CANDYCE INGWERSEN; CAROL LANKES; CHRISTOPHER KOENIG; PAUL MERTZLUFFT; CHRISTOPHER KOENIG; STEVEN CHIZUK; CHRISTOPHER KOENIG; SHANE DANIEL SETLOCK; SITA AKKINEPALLY; STEVEN CHIZUK.
Private equity company, real estate investment trust and holding company: No: NIAGARA LUTHERAN HEALTH SYSTEM, INC..
Changes in ownership
- June 1, 2025, enrollment ownership file; no longer listed: NIAGARA LUTHERAN HEALTH SYSTEM, INC. (OTHER); CHRISTOPHER KOENIG (W-2 MANAGING EMPLOYEE); STEVEN CHIZUK (W-2 MANAGING EMPLOYEE); first listed: CHRISTOPHER KOENIG (ADP OF THE SNF), associated since April 19, 2016; CHRISTOPHER KOENIG (OPERATIONAL/MANAGERIAL CONTROL), associated since April 19, 2016; SHANE DANIEL SETLOCK (ADP OF THE SNF), associated since June 19, 2023; SHANE DANIEL SETLOCK (OPERATIONAL/MANAGERIAL CONTROL), associated since June 19, 2023; STEVEN CHIZUK (ADP OF THE SNF), associated since August 31, 2021; STEVEN CHIZUK (OPERATIONAL/MANAGERIAL CONTROL), associated since August 30, 2021; SITA AKKINEPALLY (ADP OF THE SNF), associated since January 1, 2023; SITA AKKINEPALLY (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- March 1, 2025, enrollment ownership file; no longer listed: LONNY G WALTER (CORPORATE DIRECTOR); first listed: NIAGARA LUTHERAN HEALTH SYSTEM, INC. (ADP OF THE SNF), associated since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
Inspections of Greenfield Health & Rehab Center
- Cycle 1: health August 8, 2025 (5 deficiencies), fire safety August 8, 2025 (4)
- Cycle 2: health December 18, 2023 (6 deficiencies), fire safety December 18, 2023 (9)
- Cycle 3: health May 31, 2022 (1 deficiencies), fire safety May 31, 2022 (0)
Deficiencies cited at Greenfield Health & Rehab Center
12 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: February 25, 2026 (D, from a complaint, corrected April 24, 2026); May 31, 2022 (D, corrected June 21, 2022).
- F 0605, freedom from abuse, neglect, and exploitation: August 8, 2025 (D, corrected October 6, 2025).
- F 0690, quality of life and care: August 8, 2025 (D, corrected October 6, 2025).
- F 0694, quality of life and care: August 8, 2025 (D, corrected October 6, 2025).
- F 0847, administration: August 8, 2025 (B, corrected October 27, 2025).
- F 0583, resident rights: December 18, 2023 (D, corrected February 1, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: December 18, 2023 (D, from a complaint, corrected February 1, 2024).
- F 0604, freedom from abuse, neglect, and exploitation: December 18, 2023 (D, from a complaint, corrected February 1, 2024).
- F 0689, quality of life and care: December 18, 2023 (D, corrected February 12, 2024).
- F 0880, infection control: December 18, 2023 (D, corrected February 1, 2024).
- F 0881, infection control: December 18, 2023 (D, corrected February 1, 2024).
Greenfield Health & Rehab Center in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: NIAGARA LUTHERAN DEVELOPMENT, INC.
- Date First Approved to Provide Medicare and Medicaid Services: 1967-01-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Erie
- Telephone Number: 7166843000
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 154.1
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Greenfield Health & Rehab Center: no penalty in Care Compare.
Other nursing facilities in LANCASTER and New York
- ELDERWOOD AT LANCASTER
- WOODMERE HEALTH CARE CENTER WOODMERE
- Van Duyn Center For Rehabilitation And Nursing SYRACUSE
- Cedar Manor Nursing & Rehabilitation Center OSSINING
- MARTIN LUTHER NURSING HOME CLINTON
- Hudson Pointe at Riverdale Center for Nursing and Bronx
- New Paltz Center For Rehabilitation And Nursing New Paltz
- ST. JOSEPH MANOR OLEAN
Report a figure on Greenfield Health & Rehab Center’s record that differs from its CMS file, quoting 335182.