Cycle 1
Health 2025-12-04 · Fire 2025-12-04
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Erie, PA
Sarah Reed Senior Living
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
227 West 22nd Street, Erie, PA
(814) 878-2600
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
106
Certified beds
Average residents
99
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-05-23
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
0.52
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.93
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
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
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
734
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.63
Composite VBP score used to determine payment impact.
Payment multiplier
1.0191
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.79
Baseline 22.66% · Performance 17.43% · Measure score 8.79 · Achievement 8.63 · Improvement 8.79
Healthcare-associated infections
8.78
Baseline 6.11% · Performance 5.21% · Measure score 8.78 · Achievement 8.78 · Improvement 7.58
Total nurse turnover
3.44
Performance 49.61% · Measure score 3.44 · Achievement 3.44 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.84
Baseline 4.17 hours · Performance 4.45 hours · Measure score 4.84 · Achievement 4.84 · Improvement 1.26
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.52% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 3.77% · Lower 95% interval 5.5% |
| Discharge to community | 68.24% |
50.57%
17.7 pts better
|
Better than the National Rate · Eligible stays 109 · Observed rate 62.39% · Lower 95% interval 58.05% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.11% |
95.27%
2.8 pts better
|
Numerator 52 · Denominator 53 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 53 |
| Discharge self-care score | 61.36% |
53.69%
7.7 pts better
|
Numerator 27 · Denominator 44 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 22 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 53 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.21% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 0% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 7.41% |
8.2%
0.8 pts worse
|
Numerator 10 · Denominator 135 |
| Staff flu vaccination coverage | 56.3% |
42%
14.3 pts better
|
Numerator 152 · Denominator 270 |
| Discharge function score | 61.36% |
56.45%
4.9 pts better
|
Numerator 27 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| 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 | 17.39% |
25.2%
7.8 pts worse
|
Numerator 4 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.2 · 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 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.5% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
93.5%
5.4 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.2%
2 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.2% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
6.5%
1.7 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.5% · Q3 5.1% · Q4 3.9% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
6.5%
2.9 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.9% · Q3 9.6% · Q4 12.1% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
19.9%
8.6 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 12.8% · Q3 9.1% · Q4 10.4% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
18.7%
4.9 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 13.8% · Q3 12.5% · Q4 13.8% · 4Q avg 13.8% · 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 | 16.3% |
19.6%
3.3 pts better
|
16.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q2 18.6% · Q3 14.2% · Q4 13.1% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
18.3%
0.2 pts better
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.1% · Q3 15.5% · Q4 19.7% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.9%
About the same
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.7% |
26.4%
8.3 pts worse
|
19.8%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 35.4% · Q3 24.9% · Q4 38.7% · 4Q avg 34.7% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.3%
2.1 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.1% · Q3 3.1% · Q4 4.2% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
68.9%
25.6 pts better
|
81.7%
12.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 97.8% · Q3 95.8% · Q4 89.4% · 4Q avg 94.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
9.8%
0.9 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 7.3% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.4% |
68.7%
20.7 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
23.1%
5.8 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 14.5% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-12 · Fire 2024-12-12
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2024-03-22 · Fire 2024-03-22
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-04
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-12-04
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-12-04
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-12-04
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2026-01-23
D · Potential for more than minimal harm
2024-12-12
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-01-17
B · Minimal harm
2024-12-12
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-01-17
F · Potential for more than minimal harm
2024-03-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-12
D · Potential for more than minimal harm
2024-03-22
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-12
C · Minimal harm
2024-03-22
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-05-12
C · Minimal harm
2024-03-22
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-05-12
C · Minimal harm
2024-03-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-12
B · Minimal harm
2024-03-22
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-12
B · Minimal harm
2024-03-22
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-05-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-18
D · Potential for more than minimal harm
2024-12-12
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
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-12
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-12
F758 · Pharmacy Service Deficiencies
Health
Implement 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.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-12
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 2025-01-24
E · Potential for more than minimal harm
2024-06-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-08
E · Potential for more than minimal harm
2024-03-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-16
D · Potential for more than minimal harm
2024-03-22
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-16
D · Potential for more than minimal harm
2024-03-22
F756 · Pharmacy Service Deficiencies
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 2024-05-16
D · Potential for more than minimal harm
2024-03-22
F758 · Pharmacy Service Deficiencies
Health
Implement 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.
Corrected 2024-05-16
Penalties and ownership
What sits behind the stars
Ownership
Gerber, David
Corporate Director · Individual
Gerber, David
Corporate Officer · Individual
Gerber, David
W-2 Managing Employee · Individual
Johnson, Kyle
Corporate Director · Individual
Johnson, Kyle
W-2 Managing Employee · Individual
Lesseski, David
Operational/Managerial Control · Individual
Lesseski, David
Contracted Managing Employee · Individual
Morian-Gowetski, Amber
Corporate Director · Individual
Morian-Gowetski, Amber
Corporate Officer · Individual
Morian-Gowetski, Amber
W-2 Managing Employee · Individual
Schuschu, Megan
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
LECOM At Village Square, Llc
Erie, PA
3-star overall rating with 3-star inspections with $20,373 in total fines with 5 recent health deficiencies
#2
Nightingale Nursing And Rehab Center
Erie, PA
3-star overall rating with 3-star inspections with $6,292 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Lecom At Elmwood Gardens, LLC
Erie, PA
5-star overall rating with 4-star inspections with 4 recent health deficiencies
Jump out