CMS Stars
RN hrs / day
Trust Index
Bounce-back
Jen Lawlor - Case Manager, Acute Rehab (7th fl). Fax referrals: 215-965-1454. Separate from TCU (14-day max).
other
2153356559โญ Overall
5/5
๐ Health Inspection
4/5
๐ฉโโ๏ธ Staffing
5/5
๐ Quality Measures
4/5
RN / Resident / Day
4h 30m
State avg: 47 min ยท US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
2h 50m
Total Nurse / Resident / Day
7h 20m
State avg: 3h 54m ยท US avg: 3h 53m
PT / Resident / Day
31 min
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
21 per 100
State avg: 47 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
3h 18m
RN Hours Weekend
2h 19m
Weekend vs. Weekday RN
70%โ avg
US avg: 64%
Total Nurse Weekend
4h 53m
Federal Penalties
9 penalties ยท $0 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - |
30-Day Readmission
28.8 per 100
State avg: 23.1 ยท US avg: 23.9
ED Visits (no readmit)
6.9 per 100
State avg: 9.8 ยท US avg: 12.0
VBP Performance Score
52/100
Incentive Payment
+0.63% bonus
Risk-Std Readmission
23.6 per 100
Healthcare-Assoc. Infections
6.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
151
Avg Length of Stay
11.5 days
Avg Payment / Stay
$7,762.37
Patient Complexity
2.61 ร avg
Avg LOS 15-30 days is typical for short-term rehab ยท Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
| 7/27/2023 | Payment Denial | - | 50 |
Inspection Citations
Survey: March 20, 2025(12 citations)
Survey: July 27, 2023(18 citations)
Falls w/ Major Injury
N/A
State avg: 3.2 ยท US avg: 3.3
Pressure Ulcers
N/A
State avg: 5.3 ยท US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.5 ยท US avg: 1.6
Flu Vaccination
100.0 per 100
State avg: 68.7 ยท US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
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