A

LECOM AT ELMWOOD GARDENS, LLC

2628 ELMWOOD AVENUE, ERIE, PA 16508
Score: 91 / 100

Among nursing homes in Pennsylvania, Lecom At Elmwood Gardens, Llc stands out with an A grade and a score of 91 out of 100. It ranks in the 88th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing at Lecom At Elmwood Gardens, Llc is near the national average, with 3.93 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 6 deficiencies at Lecom At Elmwood Gardens, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

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 3.93 3.8 Average
Registered Nurses (RN) 0.86 0.7 Above Average
Licensed Practical Nurses (LPN) 0.73 0.7 Average
Certified Nursing Assistants (CNA) 2.34 2.4 Average
Weekend Total Nursing 3.97 3.8 Average
Weekend RN Hours 0.66 0.7 Average

🔍 Inspection & Deficiency History

6
Total Deficiencies
Feb 12, 2025
Most Recent Inspection
🟠 6 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 12, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Feb 12, 2025 · Infection Control Deficiencies
  • Tag 0711 Severity D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    Feb 12, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0712 Severity D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    Feb 12, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 28, 2024 · Resident Assessment and Care Planning 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 5.5% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 6.7% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 8.7% 14.0% Better
Excessive weight loss 2.4% 7.5% Better
New/worsened incontinence 35.9% 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
51
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 12, 2025
Deficiencies (Cycle 1)
4