LECOM At Village Square, Llc

149 WEST 22ND STREET
ERIE, PA, 16502
8144523271
CCN: 395672
3
Overall
3
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MILLCREEK MANOR5% OR GREATER DIRECT OWNERSHIP INTEREST100%
MILLCREEK HEALTH SYSTEM5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
FIERRO, VINCENTCORPORATE DIRECTORNOT APPLICABLE
FERRETTI, SILVIACORPORATE DIRECTORNOT APPLICABLE
FUCCI, ESTHERCORPORATE DIRECTORNOT APPLICABLE
KELLY, JOSEPHCORPORATE DIRECTORNOT APPLICABLE
LIN, JAMESCORPORATE DIRECTORNOT APPLICABLE
SAVOCCHIO, JOYCECORPORATE DIRECTORNOT APPLICABLE
DIIANNI, LUIGICORPORATE DIRECTORNOT APPLICABLE
ECKERT, MARYCORPORATE DIRECTORNOT APPLICABLE
FERRETTI, JOHNCORPORATE DIRECTORNOT APPLICABLE
INMAN, STEVENCORPORATE OFFICERNOT APPLICABLE
ECKERT, MARYCORPORATE OFFICERNOT APPLICABLE
FERRETTI, JOHNCORPORATE OFFICERNOT APPLICABLE
BEERBOWER, JOSHUAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BABIAK, JAIMEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (3)
DateTypeAmount
2024-11-19Fine$15K
2023-08-07Fine$2K
2023-07-17Fine$3K
Health Deficiencies (17)
2025-12-18 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-03-30 · Health
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F675 · Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
2024-11-19 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F625 · Resident Rights Deficiencies
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.
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-12-07 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.90
3.68
RN Hrs/Resident/Day
0.64
0.54
LPN Hrs/Resident/Day
0.88
0.81
CNA Hrs/Resident/Day
2.37
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01