8 health deficiencies
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Erie, PA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
6351 West Lake Road, Erie, PA
(814) 838-9191
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
78
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Seniorcare Network
Operator or chain grouping
Approved since
1996-08-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 3 health / 5 staffing / 4 quality stars
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
RN hours / resident day
1.18
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.02
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.17
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.35
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.78
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.20
CMS adjusted RN staffing hours
Adjusted total hours
5.10
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,208
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0052
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.44% · Performance 21.50% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 6.28% · Performance 4.74% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
5.42
Baseline 45.45% · Performance 41.51% · Measure score 5.42 · Achievement 5.42 · Improvement 1.42
Adjusted total nurse staffing
4.97
Baseline 3.95 hours · Performance 4.49 hours · Measure score 4.97 · Achievement 4.97 · Improvement 2.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.03% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 209 · Observed rate 10.05% · Lower 95% interval 7.82% |
| Discharge to community | 58.17% |
50.57%
7.6 pts better
|
Better than the National Rate · Eligible stays 216 · Observed rate 56.94% · Lower 95% interval 52.25% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 95.76% |
95.27%
0.5 pts better
|
Numerator 113 · Denominator 118 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 118 |
| Discharge self-care score | 45.16% |
53.69%
8.5 pts worse
|
Numerator 42 · Denominator 93 |
| Discharge mobility score | 32.26% |
50.94%
18.7 pts worse
|
Numerator 30 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 0.85% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 118 · Adjusted rate 1.22% |
| Healthcare-associated infections requiring hospitalization | 4.74% |
7.12%
2.4 pts better
|
No Different than the National Rate · Eligible stays 111 · Observed rate 0% · Lower 95% interval 2.44% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 180 |
| Staff flu vaccination coverage | 10.34% |
42%
31.7 pts worse
|
Numerator 27 · Denominator 261 |
| Discharge function score | 46.24% |
56.45%
10.2 pts worse
|
Numerator 43 · Denominator 93 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 78 · Denominator 80 |
| Resident COVID-19 vaccinations up to date | 24.24% |
25.2%
1 pts worse
|
Numerator 16 · Denominator 66 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 68.4% |
86.9%
18.5 pts worse
|
93.4%
25 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 63.0% · Q3 65.4% · Q4 63.6% · 4Q avg 68.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
93.5%
About the same
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.2%
0.4 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 3.8% · Q4 3.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
6.5%
1.3 pts worse
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 8.5% · Q3 7.7% · Q4 10.9% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 11.9% |
6.5%
5.4 pts worse
|
5.4%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 13.5% · Q3 10.6% · Q4 12.5% · 4Q avg 11.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
19.9%
5.8 pts better
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 11.1% · Q3 14.0% · Q4 9.6% · 4Q avg 14.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.7% |
18.7%
4 pts worse
|
16.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 23.4% · Q3 25.0% · Q4 19.1% · 4Q avg 22.7% · 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 | 24.6% |
19.6%
5 pts worse
|
16.3%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% |
18.3%
6.4 pts worse
|
14.9%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 29.2% · Q3 18.2% · Q4 25.5% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
0.9%
3.1 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.3% · Q3 3.3% · Q4 3.3% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 39.6% |
26.4%
13.2 pts worse
|
19.8%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 48.3% · Q3 40.5% · Q4 29.3% · 4Q avg 39.6% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.3%
0.5 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.9% · Q3 7.0% · Q4 2.6% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.3% |
68.9%
30.6 pts worse
|
81.7%
43.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 18.4% · Q3 38.9% · Q4 53.0% · 4Q avg 38.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.0% |
9.8%
4.8 pts better
|
12.0%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.0% · Observed 5.0% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 2.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.6% |
68.7%
16.1 pts worse
|
79.7%
27.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
23.1%
1.4 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 21.8% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-15
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-08-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-02
Inspection history
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-08-25
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-08-25
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-25
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 2025-08-25
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-08-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-07
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-07
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 2024-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-27
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-27
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
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