Merry Wood Lodge - 2-Star Rehab Facility in Elmore, AL | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 12.87%Falls causing major injury 1.79%Pressure ulcers (high-risk) 2.09%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Oct 2024 (597 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
5/5
★★★★★
10.5
%
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 38 min · US avg: 41 min
Total Nurse / Resident / Day
3h 10m
State avg: 3h 55m · US avg: 3h 53m
2 min
State avg: 2 min · US avg: 4 min
51 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
2h 31m
Federal Penalties
18 penalties · $1,646,712 total
| Date | Type | Fine | Denial Days |
|---|
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
| 9/1/2024 | Fine | $182,968 | - |
| 9/1/2024 | Payment Denial | - | 42 |
Inspection Citations
Survey: October 17, 2024(3 citations)
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: September 1, 2024(24 citations)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
10.5 per 100
State avg: 24.5 · US avg: 23.9
4.1 per 100
State avg: 11.5 · US avg: 12.0
1.8 per 100
State avg: 3.4 · US avg: 3.3
2.1 per 100
State avg: 5.7 · US avg: 5.1
2.7 per 100
State avg: 2.1 · US avg: 1.6
87.8 per 100
State avg: 80.3 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
24/100
Incentive Payment
-1.65% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
41.0 days
Avg Payment / Stay
$14,537
Patient Complexity
2.32 × 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)
🔴 Immediate Jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
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