Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lecom At Presque Isle, Inc during CMS and state inspections, most recent first.
The facility failed to maintain complete and accurate documentation of ordered wound treatments and scheduled showers for multiple residents with complex medical conditions, including cerebral palsy, chronic respiratory failure, COPD, multiple sclerosis, diabetes, quadriplegia, and spina bifida. Physician-ordered wound dressings to areas such as the ischium, coccyx, and sacrum, as well as scheduled bathing tasks on specific shifts, were frequently not recorded on treatment and ADL records, despite facility policies requiring detailed charting of all procedures and hygiene care. The NHA in training confirmed that these wound dressings and showers were required to be completed as ordered and documented when provided.
A resident with cerebral palsy, chronic respiratory failure, and a gastrostomy had physician orders for continuous enteral nutrition at 55 cc/hr and a hydration flush at 70 cc/hr. Facility policy required verification of enteral feeding rates against the orders before administration. On multiple observations, the resident’s feeding pump was set to 50 cc/hr and the hydration flush to 80 cc/hr. An RN confirmed these incorrect settings and acknowledged they did not follow the physician’s orders.
The facility failed to follow its own policy and resident preferences for bathing routines, as documented concerns from Resident Council indicated showers were not being offered as scheduled. Record review showed that one resident with spina bifida, diabetes, and respiratory failure received only three baths/showers in a 28-day period, another resident with respiratory failure and epilepsy received only two, and two additional residents with cerebral palsy and chronic respiratory failure received only bed baths with no documented showers during the same timeframe. The NHA confirmed that baths/showers were not provided according to resident preferences for the reviewed period.
The facility did not complete federally required MDS assessments within the specified time frames for four residents with complex medical conditions, including those with tracheostomy, TBI, COPD, dementia, and respiratory failure. Required assessment and care planning documentation was signed off days to weeks late, as confirmed by the administrator.
The facility did not maintain proper documentation for the semi-annual visual inspection of its fire alarm system, with the last inspection recorded several months prior. The maintenance manager confirmed the missing documentation.
The facility did not maintain compliance with fire safety regulations due to missing documentation for the most recent sensitivity test results of the fire alarm system. The maintenance manager confirmed the absence of this documentation during a survey.
The facility was found deficient in maintaining NFPA 101 standards for ABHR dispensers, with one installed directly over an electrical outlet in the main floor wound care room. This was confirmed by the maintenance manager.
The facility was found to have deficiencies in maintaining smoke barriers, with issues observed in the main floor IT room and laundry boiler room. The IT room had cracked, broken, and missing ceiling tiles, while the laundry boiler room had loose, missing, and unsealed ceiling tiles. These deficiencies were confirmed by the maintenance supervisor.
The facility failed to ensure GFCI protection in three areas: the main floor physical therapy room water cooler receptacle, and the eye wash station receptacles at the main floor south and north wing nurse stations. This deficiency was confirmed by the maintenance manager.
The facility was unable to provide a current certification for the fire extinguisher service technician as required by NFPA 10-7.1.2. During a document review, it was found that the certification was not available, and this was confirmed by the maintenance manager.
The facility was found to have deficiencies in exit signage, with four missing directional exit signs on the main floor. These deficiencies were observed during a survey and confirmed by the maintenance manager, indicating non-compliance with NFPA 101 requirements for continuous illumination and emergency lighting.
A facility failed to meet corridor door requirements when a door to a resident's room did not latch properly, as observed and confirmed by the maintenance manager. This deficiency was identified in one of over twenty corridor doors inspected, potentially compromising smoke passage prevention measures.
The facility failed to maintain respiratory care equipment properly for several residents, as oxygen concentrator filters were found unclean and humidification orders were missing. Observations revealed that filters were covered with a white/grey substance, and humidifier bottles were improperly managed. The Director of Nursing confirmed these deficiencies, highlighting a lack of adherence to facility policies and physician's orders.
The facility did not maintain a clean environment for two residents, as their privacy curtains were heavily soiled with a brown substance. This was against the facility's cleaning policy, which requires spot cleaning of curtains. The issue was confirmed by the Assistant DON.
Incomplete Documentation of Wound Care and Bathing
Penalty
Summary
The deficiency involves the facility’s failure to maintain complete and accurate documentation of wound treatments and bathing in accordance with its own policies and accepted professional standards. Facility policies on Activities of Daily Living and Charting and Documentation require that residents who cannot perform ADLs independently receive appropriate hygiene care, and that all procedures and treatments be documented with date, time, and the signature and title of the person providing care. For one resident with cerebral palsy, chronic respiratory failure, and a gastrostomy, physician orders required wound dressings to the right ischium every morning and at bedtime, but the March 2026 treatment record lacked documentation of multiple ordered dressing changes. The same resident’s bathing task, scheduled for specific days on day shift, also lacked documentation that baths were provided on several scheduled dates. Additional residents were affected by similar documentation gaps. One resident with hypertension, COPD, and lumbar spine fusion had an order for a daily coccyx wound dressing on day shift, but the March 2026 treatment record lacked documentation of numerous dressing changes, and the bathing task, scheduled for specific evenings, lacked documentation of several baths. Another resident with chronic respiratory failure, multiple sclerosis, and hypertension had missing documentation for several scheduled baths. A resident with diabetes and quadriplegia had multiple scheduled baths without corresponding documentation. A fifth resident with spina bifida, anxiety, and diabetes had physician orders for daily wound dressings to the left ischium and right sacrum, but the March 2026 treatment record lacked documentation of several of these treatments. In an interview, the Nursing Home Administrator in training confirmed that the clinical records for all five residents did not contain complete documentation of wound dressing changes and/or showers and acknowledged that these should be done as ordered and documented when completed.
Incorrect Enteral Feeding and Hydration Rates Not Following Physician Orders
Penalty
Summary
The facility failed to provide enteral nutrition and hydration in accordance with physician orders for one resident receiving tube feeding. Facility policy on enteral tube feeding via continuous pump required staff to check the enteral nutrition label against the order before administration, including verifying the rate of administration in mL/hour. The resident, admitted with diagnoses including cerebral palsy, chronic respiratory failure, and a gastrostomy, had physician orders dated 12/31/25 for continuous pump feeding of Peptamen AF at 55 cc/hr and a hydration flush at 70 cc/hr over 24 hours. On multiple observations on 3/23/26 at 10:30 a.m., 12:30 p.m., and 1:25 p.m., the resident was observed in bed receiving enteral feeding via g-tube with the feeding pump set at 50 cc/hr and the hydration flush set at 80 cc/hr, which did not match the physician’s orders. During an interview at 1:30 p.m. the same day, an RN confirmed that the feeding rate and hydration flush settings were 50 cc/hr and 80 cc/hr, respectively, and acknowledged that these settings were not in accordance with the resident’s physician orders and should have been set per those orders.
Failure to Provide Weekly Baths/Showers According to Resident Choice
Penalty
Summary
The deficiency involves the facility’s failure to honor residents’ rights to self-determination and to provide weekly baths or showers in accordance with resident choice and facility policy. The facility’s policy on Resident Self Determination and Participation, dated 10/30/25, states that each resident is allowed to choose a daily routine, including bathing schedules. Resident Council minutes from 12/16/25 documented resident concerns that showers were not being offered as scheduled. Despite this, review of clinical and bath/shower documentation for multiple residents showed that weekly baths/showers were not consistently provided during the review period of 1/06/26 through 2/02/26. One resident with lumbar spina bifida, diarrhea, diabetes mellitus, and respiratory failure received only three baths/showers in a 28-day period. Another resident with respiratory failure with hypoxia, epilepsy, hyponatremia, and hypokalemia had documentation showing only two baths/bed baths in the same 28-day period. A third resident with spastic quadriplegic cerebral palsy, chronic respiratory failure, vitamin deficiency, and epilepsy had only bed baths documented on five dates and no showers during the 28-day period. A fourth resident with cerebral palsy, chronic respiratory failure with hypoxia, asthma, and myopathy had documentation of bed baths but no evidence of any bath/shower during the same timeframe. In an interview, the Nursing Home Administrator confirmed that the facility did not provide baths/showers according to residents’ preferences for the identified period for these residents.
Failure to Complete MDS Assessments Within Required Time Frames
Penalty
Summary
The facility failed to complete Minimum Data Set (MDS) assessments within the federally required time frames for four out of sixteen residents reviewed. According to the Resident Assessment Instrument (RAI) User's Manual, admission MDS assessments, quarterly MDS assessments, and discharge return anticipated MDS assessments must be completed within specific deadlines following admission, assessment reference dates, or discharge. For the residents identified, the MDS completion dates, Care Area Completion dates, and Care Plan Decision dates were all signed off several days to weeks after their required due dates. The residents affected had significant medical conditions, including tracheostomy, traumatic brain injury, seizures, COPD, lung cancer, dementia, anxiety, respiratory failure, and high blood pressure. The delays in completing the required MDS assessments were confirmed by the Nursing Home Administrator during a staff interview. The deficiency was cited under 28 Pa. Code 201.14(a) for failure to ensure timely completion of mandated resident assessments.
Failure to Maintain Fire Alarm System Documentation
Penalty
Summary
The facility failed to maintain its fire alarm system components as required, affecting the entire facility. During a document review on January 16, 2025, it was discovered that the facility could not provide documentation for the semi-annual visual fire alarm inspection. The last recorded inspection was dated May 30, 2024. An interview with the maintenance manager on the same day confirmed the absence of the necessary documentation.
Plan Of Correction
The semi-annual visual fire alarm inspection has been scheduled. The maintenance director and/or designee will ensure that all visual fire alarm inspections are completed semi-annually. The administrator and/or designee will monitor for compliance.
Fire Alarm System Documentation Deficiency
Penalty
Summary
The facility failed to maintain compliance with fire safety regulations as evidenced by the absence of documentation for the most recent sensitivity test results of the fire alarm system. During a document review and interview conducted on January 16, 2025, it was revealed that the facility did not have the necessary documentation available. The maintenance manager confirmed that the sensitivity testing documentation was unavailable at the time of the survey.
Plan Of Correction
The sensitivity testing has been scheduled to be completed. The maintenance director and/or designee will ensure that the sensitivity testing is completed and documentation of the test results are obtained.
Improper Installation of ABHR Dispenser Over Electrical Outlet
Penalty
Summary
The facility failed to maintain compliance with the National Fire Protection Association (NFPA) 101 standards for alcohol-based hand rub dispensers (ABHR) in one of its five wings. During an observation on January 16, 2025, at 11:38 a.m., it was noted that the main floor wound care room had an ABHR dispenser installed directly over an electrical outlet. This installation does not meet the requirement that dispensers should not be installed within 1 inch of an ignition source. The maintenance manager confirmed the deficiency during an interview conducted at the same time.
Plan Of Correction
The main floor wound care room hand dispenser has been moved to a location in accordance with 8.7.3.1. The Maintenance Director and/or designee will audit all hand dispensers to ensure that they are placed in accordance with 8.7.3.1.
Smoke Barrier Deficiencies in Facility
Penalty
Summary
The facility failed to maintain smoke barrier requirements in two specific locations, as observed during a survey. On January 16, 2025, between 11:52 a.m. and 11:56 a.m., it was noted that the main floor IT room had cracked, broken, and missing ceiling tiles, compromising the smoke barrier. Additionally, the main floor laundry boiler room was found to have loose, missing, and unsealed ceiling tiles, further failing to meet the smoke barrier standards. These deficiencies were confirmed through an interview with the maintenance supervisor at the time of observation.
Plan Of Correction
Smoke barriers are now maintained in the following areas: a. Main floor IT room ceiling tiles have been replaced. b. Main floor laundry boiler room ceiling tiles have been replaced. The maintenance director and/or designee will complete an audit to ensure all smoke barriers are maintained.
Failure to Maintain GFCI Protection in Key Areas
Penalty
Summary
The facility failed to maintain electrical receptacles in compliance with safety standards in three specific areas. During an observation conducted on January 16, 2025, between 11:48 a.m. and 12:38 p.m., it was noted that ground fault circuit interrupter (GFCI) protection was not provided in the main floor physical therapy room water cooler receptacle, the main floor south wing nurse station eye wash station receptacle, and the main floor north wing nurse station eye wash station receptacle. This deficiency was confirmed through an interview with the maintenance manager on the same day at 12:38 p.m.
Plan Of Correction
Ground fault circuit interrupters (GFCI) have been installed in the following areas: a. Main floor physical therapy room water cooler receptacle b. Main floor south wing nurse station eye wash station receptacle c. Main floor north wing nurse station eye wash station receptacle The maintenance director and/or designee will complete a whole house audit to ensure electrical receptacles are all in compliance.
Lack of Certification for Fire Extinguisher Technician
Penalty
Summary
The facility failed to provide a current certification for the fire extinguisher service technician, which is a requirement under NFPA 10-7.1.2. During a document review on January 16, 2025, at 11:03 a.m., it was discovered that the facility could not produce the necessary certification for the technician responsible for servicing the fire extinguishers. An interview with the maintenance manager at the same time confirmed that the certification was unavailable during the survey.
Plan Of Correction
The facility received the certification for the fire extinguisher service technician on January 31, 2025. The maintenance director and/or designee will ensure that the certification for the fire extinguisher service technician is received before or at the time of inspection.
Exit Signage Deficiencies Noted in Facility
Penalty
Summary
The facility failed to maintain proper exit signage as required by NFPA 101, Section 7.10, which mandates continuous illumination of exit and directional signs, also served by the emergency lighting system. During an observation conducted on January 16, 2025, between 11:32 a.m. and 12:35 p.m., four deficiencies were noted in the exit signage on the main floor. Specifically, missing directional exit signs were observed in the main floor corridor from Ambassador to the North nurse station, the main floor entrance corridor to the North/South corridors, the main floor employee hall to the main corridor, and the main floor Northwest hall towards the North nurse station. An interview with the maintenance manager confirmed these deficiencies at the time of the survey.
Plan Of Correction
The directional exit signs for the following corridors have been installed: A. Main floor corridor to North Nurse station B. Main floor corridor to the North/South corridors C. Main floor employee hall to the main corridor D. Main floor Northwest hall toward the north Nurse station The maintenance director and/or designee will ensure that the facility directional signs will be maintained with continuous illumination.
Corridor Door Latching Deficiency
Penalty
Summary
The facility failed to meet the corridor door requirements as evidenced by an observation and interview conducted on January 16, 2025. During the observation at 11:25 a.m., it was noted that the door to resident room #74 did not latch properly in the frame. This deficiency was confirmed through an interview with the maintenance manager at the same time, who acknowledged the issue with the door. The report highlights that the corridor doors are required to resist the passage of smoke and have positive latching hardware, as per the NFPA 101 standards and CMS regulations. However, the door in question did not meet these standards, as it failed to latch, potentially compromising the safety measures intended to prevent the spread of smoke in the event of a fire. The deficiency was identified in one of over twenty corridor doors inspected during the survey.
Plan Of Correction
Resident room #74 now positively latches. The Maintenance Director and/or designee will complete an audit of all doors to ensure that all doors positively latch. Audits will be completed quarterly for compliance.
Failure to Maintain Respiratory Care Equipment
Penalty
Summary
The facility failed to maintain respiratory care equipment appropriately and in accordance with physician's orders for five residents. The facility's policies on oxygen concentrators and therapy were not followed, as evidenced by observations and staff interviews. Specifically, the oxygen concentrator filters for several residents were found to be covered with a white/grey fluffy substance, indicating they were not cleaned properly. Additionally, there was a lack of evidence in the clinical records for physician's orders regarding humidification and cleaning of the concentrator filters. Resident R4's clinical record did not show a physician's order for humidification or cleaning of the oxygen concentrator filter. Observations revealed that the external surface of the filter was initially covered with a white/grey substance, and later, the internal surface was also found to be unclean. The humidifier bottle was found empty and later placed on the floor, which was confirmed by the Director of Nursing as inappropriate. Similar issues were observed with Residents R40, R75, R95, and R205, where the internal surfaces of their oxygen concentrator filters were not clean, and it appeared that the filters had been turned around. The Director of Nursing confirmed the deficiencies during observations, and the Regional Director of Nursing acknowledged the lack of physician's orders and treatment records for cleaning the concentrator filters. The facility's failure to adhere to its policies and ensure proper maintenance of respiratory care equipment resulted in deficiencies for the residents involved, as documented in the report.
Plan Of Correction
Resident R4 now has a physician order/treatment to provide humidification to his/her supplemental oxygen. Resident R4, R40, R75, R95, and R205 oxygen concentrator filters were cleaned immediately, and orders verified that all concentrator filters are to be cleaned weekly and/or as needed. Resident R4's prefilled humidifier was immediately removed from the floor. All residents who have respiratory equipment have had their orders verified. All respiratory equipment has been checked to ensure cleanliness, which includes but is not limited to the filters. The respiratory therapists and all nursing staff will be inserviced to include but not limited to the policy and procedure for oxygen concentrators, Oxygen Therapy, Oxygen Therapy via Nasal Cannula as well as the policy and procedure for following physician orders. The Director of Nursing and/or designee will monitor physician orders for all residents on oxygen for use, flow rate, and oxygen concentrator cleanliness daily for two weeks, bi-weekly for two weeks, and weekly for four weeks, and monthly thereafter for compliance. The results will be taken to the Quality Assurance and Performance Improvement Committee for review and further recommendations.
Failure to Maintain Clean Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment for two residents, as observed during a survey. The facility's policy on Daily Resident Room and Bathroom Cleaning, dated 10/10/23, requires that privacy curtains be checked and spot cleaned as needed. However, during observations on 8/8/24, the privacy curtains in the rooms of two residents were found to be heavily soiled with a brown colored substance. This was confirmed by the Assistant Director of Nursing, who acknowledged that the curtains should have been cleaned or replaced, indicating a failure to adhere to the facility's cleaning policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Erie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Walnut Creek Nursing And Rehab | 0.9 mi | — | 0 | 0 |
| Millcreek Manor | 1.1 mi | — | 5 | 0 |
| Greenfield Healthcare And Rehabilitation Center | 1.3 mi | — | 23 | 0 |
| Lecom At Elmwood Gardens, Llc | 1.4 mi | — | 1 | 0 |
| Forestview | 1.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.