C72

LECOM At Village Square, Llc

Grade C 72/100 composite score

Non profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

110

Ownership

Non profit - Corporation

Total Fines

$20,373

Last Survey

N/A

149 WEST 22ND STREET, ERIE, PA 16502
8144523271

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.74h
LPN
1.01h
CNA
2.73h
Total
4.48h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MILLCREEK MANOR

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2019

100%

MILLCREEK HEALTH SYSTEM

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2019

100%

BABIAK, JAIME

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2022

BEERBOWER, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

DIIANNI, LUIGI

IndividualCORPORATE DIRECTORSince Mar 2025

ECKERT, MARY

IndividualCORPORATE DIRECTORSince May 2019

FERRETTI, JOHN

IndividualCORPORATE DIRECTORSince May 2019

FERRETTI, SILVIA

IndividualCORPORATE DIRECTORSince May 2019

FIERRO, VINCENT

IndividualCORPORATE DIRECTORSince May 2019

FUCCI, ESTHER

IndividualCORPORATE DIRECTORSince May 2019

KELLY, JOSEPH

IndividualCORPORATE DIRECTORSince Jan 2023

LIN, JAMES

IndividualCORPORATE DIRECTORSince Feb 2016

SAVOCCHIO, JOYCE

IndividualCORPORATE DIRECTORSince May 2019

ECKERT, MARY

IndividualCORPORATE OFFICERSince May 2019

FERRETTI, JOHN

IndividualCORPORATE OFFICERSince May 2019

INMAN, STEVEN

IndividualCORPORATE OFFICERSince May 2019

Penalties & Fines (3)

$20,373total fines
DateTypeDescriptionAmount
Nov 19, 2024Fine$15,435
Aug 7, 2023Fine$1,764
Jul 17, 2023Fine$3,174

Health Inspection Deficiencies (21)

March 30, 2025Health2 deficiencies
0675EMinimal harm, Pattern

Honor each resident's preferences, choices, values and beliefs.

Quality of Life and Care Deficiencies

Corrected May 9, 2025
0804EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected May 9, 2025
November 19, 2024Health7 deficiencies1 severe
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jan 3, 2025
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 14, 2024
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Jan 3, 2025
0655EMinimal harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jan 3, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 3, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jan 3, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 3, 2025
December 7, 2023Health5 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Feb 2, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Feb 2, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 2, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Feb 2, 2024
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Feb 2, 2024
January 31, 2023Health7 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Mar 14, 2023
0565DMinimal harm, Isolated

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Mar 14, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 14, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 14, 2023
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Mar 14, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 14, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 14, 2023

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Frequently Asked Questions

What is the CareGrader rating for LECOM At Village Square, Llc?

LECOM At Village Square, Llc in ERIE, Pennsylvania has a CareGrader grade of C (Average), with a composite score of 72.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LECOM At Village Square, Llc?

LECOM At Village Square, Llc has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LECOM At Village Square, Llc have?

LECOM At Village Square, Llc has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has LECOM At Village Square, Llc been fined?

Yes. LECOM At Village Square, Llc has $20,373 in total fines from CMS enforcement actions across 3 penalties.

How many beds does LECOM At Village Square, Llc have?

LECOM At Village Square, Llc has 110 certified beds with approximately 96 current residents (87% occupancy). The facility is located at 149 WEST 22ND STREET, ERIE, Pennsylvania 16502. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.