Mercer, PA

Quality Life Services - Mercer

4-star overall rating with 4-star inspections with $7,443 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

8221 Lamor Road, Mercer, PA

(724) 662-5860

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

48

Certified beds

Average residents

42

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Quality Life Services

Operator or chain grouping

Approved since

1992-09-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 3 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

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.75

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.89

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.31

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.69

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

0.85

CMS adjusted RN staffing hours

Adjusted total hours

3.74

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

72%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,515

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

Performance score

29.54

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.23

Baseline 20.23% · Performance 19.93% · Measure score 3.23 · Achievement 3.23 · Improvement 0.44

Healthcare-associated infections

5.66

Baseline 7.09% · Performance 6.14% · Measure score 5.66 · Achievement 5.66 · Improvement 4.03

Total nurse turnover

0.54

Baseline 80.36% · Performance 74.60% · Measure score 0.54 · Achievement 0 · Improvement 0.54

Adjusted total nurse staffing

2.39

Baseline 3.25 hours · Performance 3.76 hours · Measure score 2.39 · Achievement 2.39 · Improvement 1.51

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.07%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 6.73%
Discharge to community 52.96%
50.57%
2.4 pts better
No Different than the National Rate · Eligible stays 58 · Observed rate 48.28% · Lower 95% interval 40.76%
Medicare spending per beneficiary 0.93
1.02
0.1 pts better
Drug regimen review with follow-up 72.41%
95.27%
22.9 pts worse
Numerator 21 · Denominator 29
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 29
Discharge self-care score 54.55%
53.69%
0.9 pts better
Numerator 12 · Denominator 22
Discharge mobility score 50%
50.94%
0.9 pts worse
Numerator 11 · Denominator 22
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.14%
7.12%
1 pts better
No Different than the National Rate · Eligible stays 29 · Observed rate 0% · Lower 95% interval 3.3%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 74
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 59.09%
56.45%
2.6 pts better
Numerator 13 · Denominator 22
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 13 · 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 80.6%
86.9%
6.3 pts worse
93.4%
12.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 77.8% · Q3 90.6% · Q4 79.4% · 4Q avg 80.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
93.5%
1.1 pts better
95.5%
0.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
3.2%
1 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 21.7%
6.5%
15.2 pts worse
11.4%
10.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 23.5% · Q3 18.8% · Q4 6.1% · 4Q avg 21.7%
Percentage of long-stay residents who lose too much weight 10.6%
6.5%
4.1 pts worse
5.4%
5.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 11.1% · Q3 16.7% · Q4 6.7% · 4Q avg 10.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.3%
19.9%
2.6 pts better
19.6%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 14.8% · Q3 16.7% · Q4 20.0% · 4Q avg 17.3%
Percentage of long-stay residents who received an antipsychotic medication 15.3%
18.7%
3.4 pts better
16.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q2 13.0% · Q3 10.0% · Q4 25.0% · 4Q avg 15.3% · 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 16.4%
19.6%
3.2 pts better
16.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.0%
18.3%
8.3 pts better
14.9%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.1% · Q3 9.5% · Q4 7.7% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
1.7%
1 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.8%
26.4%
0.4 pts worse
19.8%
7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.9% · Q3 22.1% · Q4 36.7% · 4Q avg 26.8%
Percentage of long-stay residents with pressure ulcers 4.1%
5.3%
1.2 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.9% · Q3 3.2% · Q4 6.6% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 46.4%
68.9%
22.5 pts worse
81.7%
35.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 49.5% · Q3 59.8% · Q4 44.9% · 4Q avg 46.4%
Percentage of short-stay residents who had an outpatient emergency department visit 18.3%
9.8%
8.5 pts worse
12.0%
6.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 17.2% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.9%
1.5%
2.4 pts worse
1.6%
2.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 6.7% · Q3 5.5% · Q4 2.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 51.4%
68.7%
17.3 pts worse
79.7%
28.3 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.6%
23.1%
4.5 pts worse
23.9%
3.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 24.1% · Expected 20.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-18 · Fire 2025-06-18

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-07-26 · Fire 2024-07-26

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2023-08-31 · Fire 2023-08-31

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-18

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-08-07

F · Potential for more than minimal harm 2025-06-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-07

F · Potential for more than minimal harm 2025-06-18

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-08-07

C · Minimal harm 2025-06-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-08-07

C · Minimal harm 2025-06-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-07

F · Potential for more than minimal harm 2024-07-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-07-26

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-02

C · Minimal harm 2024-07-26

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-09-02

C · Minimal harm 2024-07-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-02

F · Potential for more than minimal harm 2023-08-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-31

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-31

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-31

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-29

C · Minimal harm 2023-08-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-09-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-21

D · Potential for more than minimal harm 2025-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-21

F · Potential for more than minimal harm 2025-06-18

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-08-07

E · Potential for more than minimal harm 2025-01-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-05

D · Potential for more than minimal harm 2023-06-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-02

G · Actual harm 2023-04-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-25

Penalties and ownership

What sits behind the stars

$7,443 2023-04-05

Fine

Fine · fine $7,443

Fine

Ownership

Tack Family Ventures LLC

5% Or Greater Direct Ownership Interest · Organization

99% 7 facilities 2024-09-01
Didomenico, Ryan

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-01
Markivich, Michael

Corporate Officer · Individual

0% 9 facilities 2024-09-01
Mary Susan Tack-Yurek Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2024-09-01
Steven D Tack Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2024-09-01
Sugar Creek Rest, Inc

5% Or Greater Direct Ownership Interest · Organization

0% 6 facilities 2024-09-01
Susan Tack Beardsley Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2024-09-01
Tack, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2024-09-01
Tack, Steven

Operational/Managerial Control · Individual

0% 9 facilities 2024-09-01
Tack-Beardsley, Susan

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2024-09-01
Tack-Beardsley, Susan

Operational/Managerial Control · Individual

0% 8 facilities 2024-09-01
Tack-Yurek, Mary

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2024-09-01
Tack-Yurek, Mary

Operational/Managerial Control · Individual

0% 9 facilities 2024-09-01

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