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MERCY HOSPITAL SKILLED NURSING FACILITY

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MERCY HOSPITAL SKILLED NURSING FACILITY is a non profit - corporation facility in LACKAWANNA, NY with 84 certified beds and a 5-star overall CMS rating. The facility has 4 deficiency records on file.

55 MELROY AVENUE, LACKAWANNA, NY 14218

Phone: 7168195300

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
335308
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
84
Residents
83
In Hospital
Yes
County
Erie
Last Inspection
Jul 24, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
1.21
CNA Hours
2.80
Total Nursing Hours
4.61 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
46.1%
RN Turnover
28.6%

What the CMS Record Reveals About MERCY HOSPITAL SKILLED NURSING FACILITY

MERCY HOSPITAL SKILLED NURSING FACILITY operates 84 certified beds in LACKAWANNA, NY with approximately 83 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 4 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.61 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, MERCY HOSPITAL SKILLED NURSING FACILITY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 46.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (4 most recent)

E — Pattern - Minimal harm Jul 24, 2025 Tag: 0700

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 risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 8, 2025

D — Isolated - Minimal harm Jul 29, 2022 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Aug 29, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 88.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 8.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MERCY HOSPITAL SKILLED NURSING FACILITY?
MERCY HOSPITAL SKILLED NURSING FACILITY has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at MERCY HOSPITAL SKILLED NURSING FACILITY?
MERCY HOSPITAL SKILLED NURSING FACILITY reports 4.61 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 46.1%.
How many beds does MERCY HOSPITAL SKILLED NURSING FACILITY have?
MERCY HOSPITAL SKILLED NURSING FACILITY has 84 certified beds with approximately 83 residents. The facility is located at 55 MELROY AVENUE, LACKAWANNA, NY 14218.
Does MERCY HOSPITAL SKILLED NURSING FACILITY have any deficiencies on record?
Yes, MERCY HOSPITAL SKILLED NURSING FACILITY has 4 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MERCY HOSPITAL SKILLED NURSING FACILITY received any fines or penalties?
No, MERCY HOSPITAL SKILLED NURSING FACILITY has no fines or penalties on record.
Who owns MERCY HOSPITAL SKILLED NURSING FACILITY?
MERCY HOSPITAL SKILLED NURSING FACILITY is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was MERCY HOSPITAL SKILLED NURSING FACILITY last inspected?
The most recent health inspection for MERCY HOSPITAL SKILLED NURSING FACILITY was on Jul 24, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for MERCY HOSPITAL SKILLED NURSING FACILITY?
MERCY HOSPITAL SKILLED NURSING FACILITY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial