Cycle 1
Health 2025-09-12 · Fire 2025-09-12
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Erie, PA
LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
4855 West Ridge Road, Erie, PA
(814) 836-5300
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
74
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-01-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.59
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.64
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.28
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.39
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.33
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.65
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
34%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
442
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.80
Composite VBP score used to determine payment impact.
Payment multiplier
1.0223
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.11
Baseline 18.70% · Performance 17.67% · Measure score 8.11 · Achievement 8.11 · Improvement 5.63
Healthcare-associated infections
7.09
Baseline 4.58% · Performance 5.72% · Measure score 7.09 · Achievement 7.09 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.75
Baseline 3.57 hours · Performance 4.71 hours · Measure score 5.75 · Achievement 5.75 · Improvement 4.66
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.14% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 7.09% · Lower 95% interval 6.82% |
| Discharge to community | 61.13% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 120 · Observed rate 60% · Lower 95% interval 52.8% |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 40.98% |
95.27%
54.3 pts worse
|
Numerator 25 · Denominator 61 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 61 |
| Discharge self-care score | 45.28% |
53.69%
8.4 pts worse
|
Numerator 24 · Denominator 53 |
| Discharge mobility score | 33.96% |
50.94%
17 pts worse
|
Numerator 18 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 3.28% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 61 · Adjusted rate 3.28% |
| Healthcare-associated infections requiring hospitalization | 5.72% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 1.39% · Lower 95% interval 3.08% |
| Staff COVID-19 vaccination coverage | 4.73% |
8.2%
3.5 pts worse
|
Numerator 14 · Denominator 296 |
| Staff flu vaccination coverage | 79.95% |
42%
38 pts better
|
Numerator 303 · Denominator 379 |
| Discharge function score | 54.72% |
56.45%
1.7 pts worse
|
Numerator 29 · Denominator 53 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.14% |
25.2%
1.1 pts worse
|
Numerator 7 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.2
0.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
86.9%
12.2 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
93.5%
5 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.2%
1.5 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 1.9% · Q4 1.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.4% |
6.5%
1.9 pts worse
|
11.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.1% · Q3 10.4% · Q4 13.5% · 4Q avg 8.4% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.5%
2.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 10.0% · Q4 9.3% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.2% |
19.9%
3.7 pts better
|
19.6%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 15.4% · Q3 13.6% · Q4 21.7% · 4Q avg 16.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
18.7%
8.3 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.3% · Q3 9.1% · Q4 10.5% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 46.3% |
19.6%
26.7 pts worse
|
16.3%
30 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q2 65.4% · 4Q avg 46.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 36.8% |
18.3%
18.5 pts worse
|
14.9%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 54.3% · Q3 35.1% · Q4 24.4% · 4Q avg 36.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
0.9%
2.7 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.8% · Q3 1.4% · Q4 1.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.1% |
26.4%
10.7 pts worse
|
19.8%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.2% · Q2 35.8% · Q3 39.6% · Q4 40.3% · 4Q avg 37.1% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.3%
0.1 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 8.7% · Q3 5.3% · Q4 3.1% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
68.9%
30.1 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 99.1% · Q4 98.2% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
9.8%
5.7 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 3.3% · Expected 8.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
68.7%
29.1 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% |
23.1%
5.9 pts better
|
23.9%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 11.5% · Expected 15.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-04 · Fire 2024-10-04
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2023-11-30 · Fire 2023-11-30
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-11-10
D · Potential for more than minimal harm
2025-09-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-11-10
C · Minimal harm
2025-09-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-10
B · Minimal harm
2025-09-12
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-11-10
C · Minimal harm
2024-10-04
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-01-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-25
E · Potential for more than minimal harm
2023-11-30
F675 · Quality of Life and Care Deficiencies
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-01-16
D · Potential for more than minimal harm
2023-11-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-16
Penalties and ownership
What sits behind the stars
Ownership
Nearby options
Other facilities in reach
#1
Manchester Commons Of Presbyterian Seniorcare
Erie, PA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Fairview Manor
Fairview, PA
2-star overall rating with 3-star inspections with $7,443 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Walnut Creek Nursing And Rehab
Erie, PA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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