Home / Pennsylvania / Erie
Nightingale Nursing and Rehab Center
607 East 26th Street, Erie, PA 16504 · Erie County · (814) 459-0621
139 certified beds, about 123 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395042 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 20, 2026, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 12 health citations since February 2024 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 3.61 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
60.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
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.
202/24
202/25
111/25
211/25
402/26
107/26
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
4E
0F
Potential for minimal harm
0A
0B
0C
July 10, 2026Complaint inspection · 1 citation
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to ensure medications were administered in accordance with physician's orders for three of five residents reviewed (Residents R1, R2, and Closed Record Resident CR3).
February 20, 2026Standard inspection · 4 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of facility policy, 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), and failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital, for eight of eight residents reviewed (Residents R3, R9, R11, R14, R72, R95, R99, and R149).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility 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 one of five residents reviewed (Resident R11).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to ensure medications were administered according to physician's orders for residents receiving dialysis (method of mechanically cleaning the blood) for one resident reviewed for dialysis (Resident R9).
- 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.
Inspectors wroteBased on review of facility policy, manufacturer's guidelines, observations, and staff interviews, it was determined that the facility failed to ensure that medications were properly dated when opened, failed to ensure expired medications were discarded in a timely manner, and failed to ensure medications were properly labeled with a resident name in one of three medication rooms reviewed and in one of three medication carts reviewed (D-North medication room and D-North medication cart).
November 25, 2025Complaint inspection · 2 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to follow professional standards of care with a lack of an immediate physician notification for one of seven closed records reviewed (Resident CR1) and failed to follow physician's orders for two of seven residents reviewed (Residents R2 and R3).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy and clinical and facility records, and staff interview, it was determined that the facility failed to maintain accurate and complete documentation related to a resident's change of status for one of two closed records reviewed (Resident CR1).
November 19, 2025Complaint inspection · 1 citation
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of a PRN (as needed) psychotropic (affecting the mind) medication for one of four residents reviewed for unnecessary medications (Closed Record Resident CR2)
February 28, 2025Standard inspection · 2 citations
- E 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.
Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to label a multi-dose insulin (medication to treat elevated blood sugar levels) vial with the date it was opened and discard an expired multi-dose insulin vial; and failed to prevent the opportunity for unauthorized access to medications in three of five medication carts (Unit D North, Unit E, and Unit C South); and failed to store Schedule II-V medications in a separately locked, permanently affixed compartment in two of five medication rooms (Unit C North and Unit D South).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of the Pennsylvania Code Title 49. Professional and Vocational Standards, facility job descriptions, clinical records, and facility documents, and staff interviews, it was determined that the facility failed to follow nursing standards of practice to ensure medications were administered appropriately and residents were assessed and treated in a timely manner for one of 24 residents reviewed (Resident R108).
February 29, 2024Standard inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of facility policy and clinical record, and staff interview, it was determined that the facility failed to notify the resident's responsible party of a change in condition for one of 22 residents reviewed (Resident R61).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to provide oxygen according to physician's orders for one of one residents reviewed for respiratory services (Resident R7).
Fire safety inspections
6 fire safety citations on file: 2 on February 20, 2026, 3 on February 28, 2025, 1 on February 29, 2024.
Every fire safety citation6 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Have power receptacles that are properly grounded.
- C Meet other general requirements.
- B Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.89 | 3.86 |
| Registered nurses | 0.50 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.53 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 60.1% | 44.5% | 45.8% |
| Registered nurse turnover | 62.5% | 39.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.64 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 3.77 on weekdays and 3.22 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.50 | 3.77 | 3.22 | 13.6% | 0 of 90 | 123 |
| Oct to Dec 2025 | 3.76 | 0.48 | 3.92 | 3.33 | 15.9% | 0 of 92 | 114 |
| Jul to Sep 2025 | 3.64 | 0.51 | 3.79 | 3.26 | 14.3% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.80 | 0.59 | 3.96 | 3.40 | 9.0% | 0 of 91 | 113 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.2 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.2 | 1.8 |
Owners and operators
Legal business name: ERIE SNF OPERATIONS, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Erie SNF Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2021 |
| Bab Grantor Trust | 5% or greater indirect ownership interest | Organization | 06/01/2021 | |
| Cth Irrevocable Trust | 5% or greater indirect ownership interest | Organization | 06/01/2021 | |
| Sri Nightingale LLC | 5% or greater indirect ownership interest | Organization | 06/01/2021 | |
| Braun, Dov | 5% or greater indirect ownership interest | Individual | 06/01/2021 | |
| Gottesman, Daniel | 5% or greater indirect ownership interest | Individual | 06/01/2021 | |
| Isaac, Steven | 5% or greater indirect ownership interest | Individual | 06/01/2021 | |
| Greystone Servicing Company, LLC, a Delaware Limited Liability Company | 5% or greater security interest | Organization | 06/01/2021 | |
| Bucci, David | W-2 managing employee | Individual | 06/01/2021 | |
| Jakobowitch, David | Corporate officer | Individual | 06/01/2021 |
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.
- 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 July 10, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Lecom at Village Square, LLC Erie, 0.9 mi · 4 of 5 stars · 17 citations
- Sarah Reed Senior Living Erie, 1 mi · 5 of 5 stars · 10 citations
- Pennsylvania Soldiers and Sailors Home Erie, 1.6 mi · 5 of 5 stars · 10 citations
- Lecom at Elmwood Gardens, LLC Erie, 2.3 mi · 5 of 5 stars · 7 citations
- Twinbrook Healthcare and Rehabilitation Center Erie, 3.1 mi · 2 of 5 stars · 37 citations
- Greenfield Healthcare and Rehabilitation Center Erie, 3.2 mi · 1 of 5 stars · 54 citations
- Millcreek Manor Erie, 3.5 mi · 4 of 5 stars · 29 citations
- Lecom at Presque Isle, Inc Erie, 3.6 mi · 3 of 5 stars · 17 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Nightingale Nursing and Rehab Center's Medicare star rating?
- CMS rates Nightingale Nursing and Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Nightingale Nursing and Rehab Center get at its last inspection?
- 4 health deficiencies at the standard inspection on February 20, 2026. The Pennsylvania average is 10.
- Has Nightingale Nursing and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Nightingale Nursing and Rehab Center 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 Nightingale Nursing and Rehab Center?
- CMS lists 10 owners and managers. Legal business name: ERIE SNF OPERATIONS, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.