CCN 335308
Mercy Hospital Skilled Nursing Facility
55 MELROY AVENUE, Lackawanna, NY 14218 · Erie County
- Ownership
- Non profit - Corporation
- Certified beds
- 84
- Residents per day
- 82.2
- Health citations
- 4
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.75
- 2.15
- 2.32
- LPN/LVN
- 1.28
- 0.76
- 0.86
- Registered nurse
- 0.65
- 0.71
- 0.69
- Total nurse staff
- 4.68
- 3.63
- 3.86
- Weekend total
- 4.03
- 3.18
- 3.42
- Weekend RN
- 0.37
- 0.48
- 0.48
Adjusted total nurse hours: 5.38. Adjusted RN hours: 0.75. Case-mix total: 3.34. Case-mix index: 1.221.
Total nursing staff turnover: 43.7%. RN turnover: 50.0%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: July 24, 2025. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 16.
Cycle 2 standard survey: February 2, 2024. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 12.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 4 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
July 24, 2025
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F700 | 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. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 8, 2025 |
| F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 8, 2025 |
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 8, 2025 |
July 29, 2022
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 29, 2022 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections