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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E11 | F8 |
| Minimal | A· | B3 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 31, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jun 18, 2025 | Health | Health Complaint | 1 | Minimal | 1 | Open → |
| Jan 13, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Aug 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 16, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E11 | F8 |
| Minimal | A· | B3 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 31, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2026 | Complaint |
| Mar 31, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 18, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
5 facilities in 1 states. CMS chain ID 876.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Millcreek Health System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Millcreek Health System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2016 |
| Jaime Babiak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 21, 2022 |
| Joshua Beerbower | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2023 |
| Mary Eckert | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2016 |
| John Ferretti |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Lecom at Elmwood Gardens, LLC 2628 Elmwood Avenue, Erie, PA 16508 CCN 395474 | 51 | Feb 13, 2026 | 7 | — | |
| Lecom at Village Square, LLC 149 West 22nd Street, Erie, PA 16502 CCN 395672 | 110 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Walnut Creek Nursing and Rehab 4850 Zuck Road, Erie, PA 16506 CCN 395200Abuse icon | 1.4 km | 115 | Jun 23, 2026 | 261 harm1 open | $13k | |
| Millcreek Manor 5535 Peach Street, Erie, PA 16509 CCN 396072 | 1.8 km | 144 | Mar 29, 2026 | 371 IJ | $100k | |
| Greenfield Healthcare and Rehabilitation Center 1521 West 54th Street, Erie, PA 16509 CCN 395262Abuse icon | 2 km | 133 | Aug 21, 2026 | 602 harm2 open | $10k | |
| Lecom at Elmwood Gardens, LLC 2628 Elmwood Avenue, Erie, PA 16508 CCN 395474 | 2.3 km | 51 | Feb 13, 2026 | 7 | — | |
| Forestview 2301 Edinboro Road, Erie, PA 16509 CCN 395907 | 2.6 km | 80 | Aug 14, 2026 | 197 open | — | |
| Sarah Reed Senior Living 227 West 22nd Street, Erie, PA 16502 CCN 395206 | 4.3 km | 106 | Dec 4, 2025 | 23 | — | |
| Lecom at Village Square, LLC 149 West 22nd Street, Erie, PA 16502 CCN 395672 | 4.5 km | 110 | Dec 18, 2025 | 241 harm | $10k | |
| Nightingale Nursing and Rehab Center 607 East 26th Street, Erie, PA 16504 CCN 395042 | 5.7 km | 139 | Jul 10, 2026 | 18 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395404 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395404 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Pennsylvania DOH Nursing Homes PA | 530402 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Sep 17, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Feb 5, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 6, 2026 | Complaint |
| Jan 8, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 4, 2026 |
| Jan 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 4, 2026 |
| Jan 8, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 4, 2026 |
| Jan 8, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 4, 2026 |
| Jan 8, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 27, 2026 |
| Jan 8, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jan 8, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 4, 2026 |
| Jun 18, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Aug 1, 2025 | Complaint |
| Jan 13, 2025 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2025 |
| Jan 13, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Jan 13, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 3, 2025 |
| Jan 13, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Mar 3, 2025 |
| Aug 9, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Feb 16, 2024 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2024 |
| Feb 16, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 16, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Feb 16, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Feb 16, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2024 |
| Feb 16, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Feb 16, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Feb 16, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2024 |
| Feb 16, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 16, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 17, 2024 |
| Feb 16, 2024 | F-0809 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 17, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.46 (case-mix index 1.63).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Feb 1, 2016 |
| Danielle Hansen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Steven Inman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| James Lin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2016 |
| Marlene Mosco | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2016 |
| Melanie Titzel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2016 |
| Danielle Hansen | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 1, 2023 |
| James Lin | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jul 1, 2024 |
| Jaime Babiak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 21, 2022 |
| Joshua Beerbower | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2023 |
| James Lin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 29, 2025 |
| Tonya Moyer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2025 |
| Dec 18, 2025 |
241 harm |
| $10k |
| Millcreek Manor 5535 Peach Street, Erie, PA 16509 CCN 396072 | 144 | Mar 29, 2026 | 371 IJ | $100k |
| Lecom at Asbury Ridge DBA Saint Mary's Asbury Ridg 4855 West Ridge Road, Erie, PA 16506 CCN 396081 | 80 | Sep 12, 2025 | 9 | — |