CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
Dana Heitzenrater, BSN, RN, NHA
Admissions
(724) 465-3900ih_nha@indianhaven.comSource: facility website
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
37 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
58 min
CNA hrs/day
2h 8m
Total Nurse / Resident / Day
3h 43m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
37 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
45 min
RN Hours Weekend
34 min
Weekend vs. Weekday RN
75%above avg
US avg: 64%
Total Nurse Weekend
3h 39m
Federal Penalties
1 penalty · $8,281 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/5/2025 | Fine | $8,281 | - |
| 3/16/2023 | Fine | $3,250 | - |
Inspection Citations
Survey: March 5, 2025(3 citations)
30-Day Readmission
31.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.43% penalty
Risk-Std Readmission
19.8 per 100
Healthcare-Assoc. Infections
7.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
76
Avg Length of Stay
16.8 days
Avg Payment / Stay
$8,197.6
Patient Complexity
2.06 × 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)
Survey: February 5, 2025(9 citations)
Survey: October 2, 2024(5 citations)
Survey: March 21, 2024(14 citations)
Survey: June 20, 2023(3 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
88.0 per 100
State avg: 68.7 · US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
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