CMS data shows Lecom At Village Square, Llc earning a D grade with a score of 50/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Lecom At Village Square, Llc is near the national average, with 3.90 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 17 deficiencies at Lecom At Village Square, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.90 | 3.8 | Average |
| Registered Nurses (RN) | 0.64 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.37 | 2.4 | Average |
| Weekend Total Nursing | 3.47 | 3.8 | Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Dec 17, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 17, 2025 · Pharmacy Service Deficiencies
- Tag 0675 Severity EHonor each resident's preferences, choices, values and beliefs.Mar 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Mar 29, 2025 · Nutrition and Dietary 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 | 5.4% | 4.5% | Worse |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 23.9% | 14.5% | Worse |
| Urinary tract infections | 2.6% | 2.5% | Average |
| ADL decline (daily activities) | 6.2% | 14.0% | Better |
| Excessive weight loss | 7.8% | 7.5% | Average |
| New/worsened incontinence | 22.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $20,373
How This Grade Was Calculated
This facility's grade of D is based on a score of 50 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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