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Lecom at Village Square, LLC

149 West 22nd Street, Erie, PA 16502 · Erie County · (814) 452-3271

110 certified beds, about 97 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395672 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 18, 2025, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 17 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,033 in the last three years; the largest was $10,033, and the latest is dated November 19, 2024.

Nurses and nurse aides worked 3.72 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

58.7% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Lecom Senior Living, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
5E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection · 3 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital for five of 20 residents reviewed (Residents R1, R4, R14, R43 and R100).
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to review and revise comprehensive care plans to reflect the current care and services for one of 20 residents reviewed (Resident R11).
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on review of facility policy, manufacturer's guidelines, observations, and staff interview, it was determined that the facility failed to ensure an expired medication was discarded in a timely manner in one of two medication carts reviewed (East Wing Cart).
March 30, 2025Complaint inspection · 2 citations
  1. E
    Honor each resident's preferences, choices, values and beliefs.
    F675 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on review of facility documents and resident and staff interviews, it was determined that the facility failed to meet the needs of residents in a timely manner for nine of 11 residents interviewed (Residents R1, R4 through R9, R11 and R12).
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on review of facility documents and resident and staff interviews, it was determined that the facility failed to serve food that was at a palatable temperature for nine of 11 residents interviewed (Residents R1, R4 through R9, and R11).
November 19, 2024Standard inspection, Complaint inspection · 7 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of facility policies and documentation and clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure that one of two residents reviewed regarding transfers (Resident R72) was free of neglect during care which resulted in actual harm of an anterior dislocation of left shoulder (when the shoulder slides forward out of the socket). This deficiency is cited as past non-compliance.
  2. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for four of 19 residents reviewed (Residents R71, R49, R28, and R7) and failed to ensure that a baseline care plan for an indwelling foley catheter (a medical device that helps drain urine from the bladder) was developed and implemented for one of 19 residents reviewed (Resident R178 ).
  3. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview it was determined that the facility failed to provide the resident and/or resident representative with a written notice of the facility bed-hold policy (explanation of how long a bed can be held during a leave of absence and the cost per day) upon or within 24 hours of transfer for two of 19 residents reviewed (Residents R41 and R7).
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to transcribe a physician's order for an anxiety medication for one of 19 residents reviewed (Resident R1).
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to ensure adequate physician orders were in place for an indwelling urinary catheter (a medical device that helps drain urine from the bladder) for one resident reviewed for catheters (R178).
  6. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to provide a clinical rationale for the continued use of a PRN (as needed) psychotropic (affecting the mind) medication beyond 14-days and failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of an as needed (PRN) psychotropic (mind altering) medication for two of six residents reviewed regarding psychotropic medications (Residents R12 and R67).
  7. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of facility policy and manufacturer's guidelines, observations, and staff interviews, it was determined that the facility failed to appropriately discard outdated medications for one of two medication carts reviewed (two east medication cart) and one of two medication rooms reviewed (first floor medication room).
December 7, 2023Standard inspection · 5 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on a review of facility records, observations, and staff interviews, it was determined the facility failed to maintain safe storage of ice for residents for one of one ice machines located in the kitchen.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed to maintain resident dignity during medication administration for one of 18 residents reviewed (Resident R49).
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure that a baseline care plan was developed and implemented for two of 18 residents reviewed (Residents R172 and R173).
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on review of clinical record and facility policy, observation, and staff interview, it was determined that the facility failed to follow a physician's order for the administration of insulin for one of 18 residents reviewed (Resident R49).
  5. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on a review of facility policy and clinical records, review of the Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual 2019 (RAI-assessment guide used to plan the provision of care for residents), and resident and staff interviews, it was determined the facility failed to implement part or all of the Antibiotic Stewardship Program for one of 18 residents reviewed (Resident R39).

Fire safety inspections

7 fire safety citations on file: 1 on November 19, 2024, 6 on December 7, 2023.

Every fire safety citation7 citations
  1. C
    Conduct testing and exercise requirements.
    E 39 · November 19, 2024 · Corrected (the home has a date of correction)
  2. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · December 7, 2023 · Corrected (the home has a date of correction)
  3. C
    Address patient/client population and determine types of services needed.
    E 7 · December 7, 2023 · Corrected (the home has a date of correction)
  4. C
    Establish policies and procedures for sheltering.
    E 22 · December 7, 2023 · Corrected (the home has a date of correction)
  5. C
    Establish policies and procedures for medical documentation.
    E 23 · December 7, 2023 · Corrected (the home has a date of correction)
  6. C
    Establish emergency prep training and testing.
    E 36 · December 7, 2023 · Corrected (the home has a date of correction)
  7. C
    Implement emergency and standby power systems.
    E 41 · December 7, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 19, 2024Fine $10,033

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.723.893.86
Registered nurses0.640.790.69
All nursing staff on weekends3.333.533.42
Nurse aides2.34
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)58.7%44.5%45.8%
Registered nurse turnover41.7%39.9%42.9%
Administrators who left2

CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.33 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.72 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.720.643.873.33 9.1%0 of 9097
Oct to Dec 20253.500.643.812.71 9.3%0 of 92100
Jul to Sep 20253.900.644.063.47 9.3%0 of 9296
Apr to Jun 20253.990.704.323.17 22.5%0 of 9191
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.916.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.61.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.117.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.622.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.69.512.0

Owners and operators

Legal business name: LECOM AT VILLAGE SQUARE LLC. CMS links this home to Lecom Senior Living, a group of 5 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Millcreek Manor5% or greater direct ownership interestOrganization100%05/03/2019
Millcreek Health System5% or greater indirect ownership interestOrganization100%05/03/2019
Diianni, LuigiCorporate directorIndividual03/18/2025
Eckert, MaryCorporate directorIndividual05/03/2019
Ferretti, JohnCorporate directorIndividual05/03/2019
Ferretti, SilviaCorporate directorIndividual05/03/2019
Fierro, VincentCorporate directorIndividual05/03/2019
Fucci, EstherCorporate directorIndividual05/03/2019
Kelly, JosephCorporate directorIndividual01/01/2023
Lin, JamesCorporate directorIndividual02/01/2016
Savocchio, JoyceCorporate directorIndividual05/03/2019
Eckert, MaryCorporate officerIndividual05/03/2019
Ferretti, JohnCorporate officerIndividual05/03/2019
Inman, StevenCorporate officerIndividual05/03/2019
Babiak, JaimeOperational/managerial controlIndividual11/21/2022
Beerbower, JoshuaOperational/managerial controlIndividual11/03/2023
Diianni, LuigiTrustee of the SNFIndividual03/18/2025
Kelly, JosephTrustee of the SNFIndividual01/01/2023
Babiak, JaimeAdp of the SNFIndividual11/21/2022
Beerbower, JoshuaAdp of the SNFIndividual11/03/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 30, 2025: "Honor each resident's preferences, choices, values and beliefs."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 18, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 18, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 18, 2025: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Pennsylvania average of 3.53.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lecom at Village Square, LLC's Medicare star rating?
CMS rates Lecom at Village Square, LLC 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lecom at Village Square, LLC get at its last inspection?
3 health deficiencies at the standard inspection on December 18, 2025. The Pennsylvania average is 10.
Has Lecom at Village Square, LLC been fined?
Yes. CMS lists 1 fine totaling $10,033 in the last three years.
Does Lecom at Village Square, LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Lecom at Village Square, LLC?
CMS lists 20 owners and managers, and links the home to Lecom Senior Living. Legal business name: LECOM AT VILLAGE SQUARE LLC.

Sources

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