Elder Care Record

Pennsylvania › Erie County › Erie

Lecom At Village Square, LLC

149 West 22nd Street, Erie, PA 16502

CCN 395672 · Non-profit, corporation · 110 certified beds · chain Lecom Senior Living

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Lecom At Village Square, LLC, in Erie, Pennsylvania, is certified for 110 beds under non-profit, corporation ownership and belongs to the Lecom Senior Living chain.

CMS gives it 4 of 5 stars overall, above the Pennsylvania median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (3, 9, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 15.5 per 100 beds, fewer than the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $10K.

Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 58.7%.

17health deficiencies, 3 survey cycles1 at actual harm or worse
$10Kfines listed by CMS1 penalty in period
3.7nurse hours per resident per daystate median 3.6
88%occupancy (residents ÷ beds)97 residents a day

Compared with county, state and nation

MeasureThis facilityErie Co. medianPennsylvania medianUS average
Overall star rating4433.0
Health citations, 3 cycles17172628.7
Citations per 100 beds15.515.522.226.8
Total nurse hours per resident day3.73.93.63.9
RN hours per resident day0.60.70.70.7
Nursing staff turnover58.7%47.5%44.3%45.8%
Fines listed$10,033$0$0—

County and state figures are medians across facilities (18 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 29
Cycle 35

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Dec 2025, 19 Nov 2024.

Severity mix: G ×1 D ×11 E ×5

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
18 Dec 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey23 Jan 2026
18 Dec 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey23 Jan 2026
18 Dec 2025F0761Ensure 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.DStandard survey23 Jan 2026
30 Mar 2025F0675Honor each resident's preferences, choices, values and beliefs.EComplaint investigation9 May 2025
30 Mar 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation9 May 2025
19 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation14 Nov 2024
19 Nov 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey3 Jan 2025
19 Nov 2024F0625Notify 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.DStandard survey3 Jan 2025
19 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey3 Jan 2025
19 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Jan 2025
19 Nov 2024F0758Implement 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.DStandard survey3 Jan 2025
19 Nov 2024F0761Ensure 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.DStandard survey3 Jan 2025
7 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Feb 2024
7 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey2 Feb 2024
7 Dec 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey2 Feb 2024
7 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 Feb 2024
7 Dec 2023F0881Implement a program that monitors antibiotic use.DStandard survey2 Feb 2024

Penalties

DateTypeAmountDetail
19 Nov 2024Fine$10,033

Staffing

Total nursing3.72 h
Nurse aides2.34 h
LPN0.74 h
RN0.64 h
Weekend total3.33 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 58.7%, RNs 41.7%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.9%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay2.7%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.2%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.1%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Lecom At Village Square Llc. Chain: Lecom Senior Living (5 facilities).

OrganisationRole in the CMS recordInterestSince
Millcreek Manor5% or greater direct ownership interest100%05/03/2019
Millcreek Health System5% or greater indirect ownership interest100%05/03/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Erie County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Ball Pavilion, TheErie855451112.9—27 Mar 2026
ForestviewErie8055533.8—28 Aug 2025
Lecom At Asbury Ridge DBA Saint Mary'S Asbury RidgErie8055445.0—12 Sep 2025
Lecom At Elmwood Gardens, LLCErie51554713.7—13 Feb 2026
Manchester Commons of Presbyterian SeniorcareErie785451519.2—2 Jul 2025
Pennsylvania Soldiers and Sailors HomeErie107545109.3—13 Mar 2026
Sarah Reed Senior LivingErie106554109.4—12 Jun 2025
Edinboro ManorEdinboro1214322520.7—22 Jan 2026

All 18 facilities in Erie County

Questions and answers

How many deficiencies has Lecom At Village Square, LLC been cited for?

17 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Lecom At Village Square, LLC been fined?

Yes. CMS lists fines totalling $10K in the period covered.

How does staffing at Lecom At Village Square, LLC compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Lecom At Village Square, LLC?

It is part of the Lecom Senior Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Millcreek Manor and Millcreek Health System. Individual owners and managers are not listed on this site.

When was Lecom At Village Square, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 18 Dec 2025; the most recent standard health survey was 18 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.