SeniorHomeViolations
B+
84/100

LECOM At Village Square, Llc Inspection Report, Violations & Safety Grade (ERIE, Pennsylvania)

149 WEST 22ND STREET, ERIE, Pennsylvania 16502

Phone: 8144523271

CMS Overall:4/5

Overview & Bed Count

Certified Beds
110
Avg Residents/Day
102.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Erie
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.670.78-0.11
Total Nurse Hours per Resident per Day3.673.90-0.22
CMS Staffing Rating3/53.1/5-
Nursing Staff Turnover57.4%44.6%-

Health Citation History

17 health citations on record

DateCategoryDescriptionSeverity
2025-12-18Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2025-12-18Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-12-18Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2025-03-30Quality of Life and Care DeficienciesHonor each resident's preferences, choices, values and beliefs.E – Moderate Harm Potential
2025-03-30Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-11-19Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-11-19Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE – Moderate Harm Potential
2024-11-19Resident Rights DeficienciesNotify 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.D – Moderate Harm Potential
2024-11-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-11-19Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-11-19Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2024-11-19Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2023-12-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-12-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-12-07Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2023-12-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-12-07Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2024-11-19Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential
2023-12-07Emergency Preparedness DeficienciesImplement emergency and standby power systems.C – Minimal Harm Potential

Total Penalties & Fines

$10,033
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-19Fine$10,033-

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