Universal Health Care/Fuquay-Varina - 1-Star Rehab Facility in Fuquay Varina, NC | PlacetClinical Quality Indicators
Long-stay residents, lower is better
Antipsychotic medication use 18.11%Falls causing major injury 1.66%Pressure ulcers (high-risk) 5.85%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Dec 2024 (600 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
3/5
★★★☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 35 min · US avg: 41 min
Total Nurse / Resident / Day
3h 35m
State avg: 3h 47m · US avg: 3h 53m
10 min
State avg: 5 min · US avg: 4 min
65 per 100
State avg: 50 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
43%well below avg
US avg: 64%
Federal Penalties
1 penalty · $76,047 total
| Date | Type | Fine | Denial Days |
|---|
| 10/18/2023 | Fine | $76,047 | - |
Inspection Citations
Survey: December 5, 2024(14 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: October 18, 2023(27 citations)
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
Survey: June 17, 2022(26 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
24.6 per 100
State avg: 22.9 · US avg: 23.9
18.4 per 100
State avg: 13.2 · US avg: 12.0
1.7 per 100
State avg: 3.6 · US avg: 3.3
5.8 per 100
State avg: 6.0 · US avg: 5.1
0.9 per 100
State avg: 1.5 · US avg: 1.6
68.8 per 100
State avg: 78.1 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
3/100
Incentive Payment
-1.96% penalty
Healthcare-Assoc. Infections
7.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
30.1 days
Avg Payment / Stay
$14,262.56
Patient Complexity
3.35 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🔴 Immediate JeopardyEnvironmental Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for Harm
Resident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
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