A

MERCY HOSPITAL SKILLED NURSING FACILITY

55 MELROY AVENUE, LACKAWANNA, NY 14218
Score: 91 / 100

Among nursing homes in New York, Mercy Hospital Skilled Nursing Facility stands out with an A grade and a score of 91 out of 100. It ranks in the 92th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Mercy Hospital Skilled Nursing Facility provides above-average staffing with 4.61 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Mercy Hospital Skilled Nursing Facility shows a strong inspection record, with just 4 deficiencies noted in recent CMS surveys, none of which were classified as serious.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.61 3.8 Above Average
Registered Nurses (RN) 0.60 0.7 Below Average
Licensed Practical Nurses (LPN) 1.21 0.7 Above Average
Certified Nursing Assistants (CNA) 2.80 2.4 Above Average
Weekend Total Nursing 4.02 3.8 Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

4
Total Deficiencies
Jul 23, 2025
Most Recent Inspection
🟠 4 Moderate
View recent deficiencies (4 shown)
  • Tag 0700 Severity E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these
    Jul 23, 2025 · Quality of Life and Care Deficiencies
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Jul 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jul 23, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Jul 28, 2022 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.9% 4.5% Worse
Falls with major injury 3.3% 3.0% Worse
On antipsychotic medication 10.9% 14.5% Better
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 14.9% 14.0% Average
Excessive weight loss 4.9% 7.5% Better
New/worsened incontinence 30.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 91 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
84
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 23, 2025
Deficiencies (Cycle 1)
3