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Mercy Hospital Skilled Nursing Facility

55 Melroy Avenue, Lackawanna, NY 14218 · Erie County · (716) 819-5300

84 certified beds, about 82 residents a day · Non profit - Corporation · Medicare and Medicaid since 1970

CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335308 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 3 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 4 health citations since July 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.68 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

43.7% of nursing staff left within the year CMS measured (New York average 40.3%).

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
0C
July 24, 2025Standard inspection · 3 citations
  1. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 7/24/25, the facility did not ensure: they assessed all residents for risk of entrapment from bed rails prior to installation, they reviewed the risks and benefits of bed rails with the resident or resident representative, obtain informed consent prior to installation, or provide documentation that preventive maintenance was conducted for all bed rails for four (4) (Residents #7, 9, 27, and 50) of four (4) residents reviewed. Specifically, the U Rails were loose and not secure (Resident's #27 and #50); lacked evidence of consent and risks verses benefits; and there was no routine preventative maintenance (Resident #7, 9, 27, & 50). In addition, the U-Rails were installed in error (Resident #50) and not reflected on the care plan (Resident #7 and # 50).
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on interview, observation, and record review conducted during a Standard survey completed on 7/24/25, the facility did not ensure that residents have a right to be treated with respect and dignity, including the right to be free from any physical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for one (1) (#30) of three (3) residents reviewed. Specifically, there was a lack of risk versus benefit assessments and informed consents for the alarm; the alarm sounded in the room, and Resident #30 was bothered by the use of the alarm and felt undignified.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 7/25/25, the facility did not provide services consistent with professional standards of care during medication administration for three (3) (#1, #20, and #77) of seven (7) residents observed. Specifically, Registered Nurse #2 administered medications that they had not personally prepared to Resident #1, #20, and #77.
February 2, 2024Standard inspection · 0 citations
July 29, 2022Standard inspection · 1 citation
  1. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 29, 2022
    Inspectors wroteBased on interview and record review conducted during the Standard survey started on 7/25/22 completed 7/29/22, the facility did not ensure that each resident's drug regimen is free from unnecessary drugs. An unnecessary drug is any drug when used for excessive duration and without adequate indication for its use. Specifically, one (Resident #29) of five residents reviewed for unnecessary medications was treated with an antibiotic for an excessive duration, without adequate indication for its continued use. The finding is: Review of facility policy and procedure (P&P) titled Antibiotic Stewardship, effective 10/2017, documented the Antibiotic Stewardship Program (ASP) will guide safe, appropriate, effective and responsible use of antibiotic agents. [...]

Fire safety inspections

16 fire safety citations on file: 5 on February 2, 2024, 11 on July 29, 2022.

Every fire safety citation16 citations
  1. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 2, 2024 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 2, 2024 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 2, 2024 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 2, 2024 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · February 2, 2024 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 29, 2022 · Corrected (the home has a date of correction)
  7. E
    Provide properly protected cooking facilities.
    K 324 · July 29, 2022 · Corrected (the home has a date of correction)
  8. E
    Install an approved automatic sprinkler system.
    K 351 · July 29, 2022 · Corrected (the home has a date of correction)
  9. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 29, 2022 · Corrected (the home has a date of correction)
  10. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 29, 2022 · Corrected (the home has a date of correction)
  11. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 29, 2022 · Corrected (the home has a date of correction)
  12. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 29, 2022 · Corrected (the home has a date of correction)
  13. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · July 29, 2022 · Corrected (the home has a date of correction)
  14. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 29, 2022 · Corrected (the home has a date of correction)
  15. D
    Meet other general requirements.
    K 100 · July 29, 2022 · Corrected (the home has a date of correction)
  16. D
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · July 29, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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 homeNew YorkUnited States
All nursing staff (RN, LPN and aides)4.683.633.86
Registered nurses0.650.710.69
All nursing staff on weekends4.033.183.42
Nurse aides2.75
Licensed practical nurses1.28
Nursing staff turnover (share who left in a year)43.7%40.3%45.8%
Registered nurse turnover50.0%39.8%42.9%
Administrators who left0

CMS expects 3.34 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 4.95 on weekdays and 4.03 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.74 in April to June 2025 to 4.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.680.654.954.03 0.0%0 of 9082
Oct to Dec 20254.700.584.894.23 0.0%0 of 9282
Jul to Sep 20254.610.604.844.02 0.0%0 of 9283
Apr to Jun 20254.740.554.944.25 0.0%0 of 9183
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%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 New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
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 homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.114.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.03.13.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.612.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.16.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.413.715.4

Owners and operators

Legal business name: MERCY HOSPITAL OF BUFFALO.

NameRoleTypeShareSince
Sette-Camara, LeonardoManaging control - governing bodyIndividual01/01/2020
Zapfel, RobertManaging control - governing bodyIndividual06/19/2014
O Connor, PatriciaCorporate directorIndividual06/15/2015
Osborne, ClaytonCorporate directorIndividual05/01/2008
Sette-Camara, LeonardoCorporate directorIndividual01/01/2020
Agnello, AlexisCorporate officerIndividual01/01/2020
Edwards, RussellCorporate officerIndividual07/01/2020
Garvey, JamesCorporate officerIndividual08/01/2020
Gleason, ThomasCorporate officerIndividual01/01/2020
Macholz, DavidCorporate officerIndividual06/19/2014
Markiewicz, JoyceCorporate officerIndividual09/01/2023
Zapfel, RobertCorporate officerIndividual06/19/2014
Edwards, RussellOperational/managerial controlIndividual01/01/2020
Gleason, ThomasOperational/managerial controlIndividual01/01/2020
O Connor, PatriciaOperational/managerial controlIndividual09/01/2023
Osborne, ClaytonOperational/managerial controlIndividual05/01/2008
Snyder, BrianOperational/managerial controlIndividual06/15/2015
O Connor, PatriciaAdp of the SNFIndividual09/01/2023
Snyder, BrianAdp of the SNFIndividual06/30/2025

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 1 problem in this area, most recently on July 24, 2025: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 24, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 24, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 29, 2022: "Ensure each resident’s drug regimen must be free from unnecessary drugs."

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New York contacts for a concern about a nursing home

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

Common questions

What is Mercy Hospital Skilled Nursing Facility's Medicare star rating?
CMS rates Mercy Hospital Skilled Nursing Facility 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mercy Hospital Skilled Nursing Facility get at its last inspection?
3 health deficiencies at the standard inspection on July 24, 2025. The New York average is 8.1.
Has Mercy Hospital Skilled Nursing Facility been fined?
CMS lists no fines in the last three years.
Does Mercy Hospital Skilled Nursing Facility 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 Mercy Hospital Skilled Nursing Facility?
CMS lists 19 owners and managers. Legal business name: MERCY HOSPITAL OF BUFFALO.

Sources

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