Erie, PA

Lecom At Presque Isle, Inc

4-star overall rating with 3-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

4114 Schaper Avenue, Erie, PA

(814) 868-0831

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

102

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1978-03-02

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

0.80

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.57

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.44

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.87

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.02

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

3.82

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

35%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,208

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.45

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.89

Baseline 41.18% · Performance 55.95% · Measure score 1.89 · Achievement 1.89 · Improvement 0

Adjusted total nurse staffing

0.80

Baseline 2.73 hours · Performance 3.13 hours · Measure score 0.80 · Achievement 0 · Improvement 0.80

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.98%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 15.63% · Lower 95% interval 7.95%
Discharge to community	44.91%	50.57% 5.7 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 33.33% · Lower 95% interval 31.29%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0.75%	8.2% 7.4 pts worse	Numerator 1 · Denominator 134
Staff flu vaccination coverage	2.86%	42% 39.1 pts worse	Numerator 4 · Denominator 140
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	51.3%	86.9% 35.6 pts worse	93.4% 42.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.2% · Q2 57.1% · Q3 46.4% · Q4 33.0% · 4Q avg 51.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	74.2%	93.5% 19.3 pts worse	95.5% 21.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 74.2%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.2% 0.5 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.6% · Q3 3.6% · Q4 1.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.2%	6.5% 4.3 pts better	11.4% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 1.3% · Q4 3.8% · 4Q avg 2.2%
Percentage of long-stay residents who lose too much weight	5.5%	6.5% 1 pts better	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.6% · Q3 2.6% · Q4 4.8% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.1%	19.9% 0.8 pts better	19.6% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 19.7% · Q3 14.1% · Q4 20.0% · 4Q avg 19.1%
Percentage of long-stay residents who received an antipsychotic medication	14.7%	18.7% 4 pts better	16.7% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.3% · Q3 18.3% · Q4 17.5% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	1.2%	0.2% 1 pts worse	0.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2%
Percentage of long-stay residents whose ability to walk independently worsened	11.5%	19.6% 8.1 pts better	16.3% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 12.2% · Q3 7.3% · Q4 9.5% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.7%	18.3% 10.6 pts better	14.9% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.6% · Q3 6.1% · Q4 13.7% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.9% 0.4 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.7% 1.4 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.2%	26.4% 4.8 pts worse	19.8% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 34.6% · Q3 35.0% · Q4 24.5% · 4Q avg 31.2%
Percentage of long-stay residents with pressure ulcers	11.0%	5.3% 5.7 pts worse	5.1% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 10.0% · Q3 11.8% · Q4 16.4% · 4Q avg 11.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	10.0%	68.9% 58.9 pts worse	81.7% 71.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 10.1% · Q3 5.7% · Q4 3.8% · 4Q avg 10.0%
Percentage of short-stay residents who had an outpatient emergency department visit	6.9%	9.8% 2.9 pts better	12.0% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 8.0% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.8% · Q3 0.0% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	12.0%	68.7% 56.7 pts worse	79.7% 67.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 12.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.8%	23.1% 5.3 pts better	23.9% 6.1 pts better	Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 24.0% · Expected 32.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-08 · Fire 2026-01-08

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2025-01-13 · Fire 2025-01-13

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2024-02-16 · Fire 2024-02-16

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-03-14

E · Potential for more than minimal harm 2026-01-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-03-14

D · Potential for more than minimal harm 2026-01-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-03-14

D · Potential for more than minimal harm 2026-01-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-03-14

C · Minimal harm 2026-01-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-14

F · Potential for more than minimal harm 2025-01-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-03

F · Potential for more than minimal harm 2025-01-13

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-13

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-13

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-03-03

C · Minimal harm 2025-01-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-03

B · Minimal harm 2025-01-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-03

B · Minimal harm 2025-01-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-03

F · Potential for more than minimal harm 2024-02-16

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-16

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-14

F · Potential for more than minimal harm 2024-02-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-14

F · Potential for more than minimal harm 2024-02-16

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-02-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-14

E · Potential for more than minimal harm 2024-02-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-02-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Not marked corrected

E · Potential for more than minimal harm 2026-01-08

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Not marked corrected

E · Potential for more than minimal harm 2026-01-08

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.

Not marked corrected

E · Potential for more than minimal harm 2026-01-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Not marked corrected

D · Potential for more than minimal harm 2026-01-08

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Not marked corrected

D · Potential for more than minimal harm 2026-01-08

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Not marked corrected

D · Potential for more than minimal harm 2026-01-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Not marked corrected

D · Potential for more than minimal harm 2026-01-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Not marked corrected

D · Potential for more than minimal harm 2026-01-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Not marked corrected

B · Minimal harm 2025-06-18

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-08-01

E · Potential for more than minimal harm 2025-01-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-28

D · Potential for more than minimal harm 2024-08-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-02-16

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-03-17

D · Potential for more than minimal harm 2024-02-16

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 2024-03-17

D · Potential for more than minimal harm 2023-03-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-27

Penalties and ownership

What sits behind the stars

Ownership

Millcreek Health System

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2016-02-01

Babiak, Jaime

Operational/Managerial Control · Individual

0% 5 facilities 2022-11-21

Beerbower, Joshua

Operational/Managerial Control · Individual

0% 5 facilities 2023-11-03

Eckert, Mary