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Lecom At Village Square, Llc
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Ratings Deep Dive
5 Deficiencies found in last inspections
3 Penalties in last 3 years
3 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Dec 18, 2025 | 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. | D |
| — | Dec 18, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| — | Dec 18, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| — | Mar 30, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| — | Mar 30, 2025 | Honor each resident's preferences, choices, values and beliefs. | E |
0.6 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
46.2% RN Turnover Rate
5.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
96.3 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST MILLCREEK MANOR
5% OR GREATER INDIRECT OWNERSHIP INTEREST MILLCREEK HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL BABIAK, JAIME
OPERATIONAL/MANAGERIAL CONTROL BEERBOWER, JOSHUA
CORPORATE DIRECTOR DIIANNI, LUIGI
CORPORATE DIRECTOR ECKERT, MARY
CORPORATE DIRECTOR FERRETTI, JOHN
CORPORATE DIRECTOR FERRETTI, SILVIA
CORPORATE DIRECTOR FIERRO, VINCENT
CORPORATE DIRECTOR FUCCI, ESTHER
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Nov 19, 2024 | Fine | $15,435 |
| Aug 7, 2023 | Fine | $1,764 |
| Jul 17, 2023 | Fine | $3,174 |
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