Winthrop Health And Rehabilitation - 4-Star Rehab Facility in Rome, GA | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 22%Falls causing major injury 5.88%Pressure ulcers (high-risk) 4.44%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Sep 2025 (265 days ago)🔍 Health Inspection
4/5
★★★★☆
📊 Quality Measures
2/5
★★☆☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 30 min · US avg: 41 min
Total Nurse / Resident / Day
3h 16m
State avg: 3h 35m · US avg: 3h 53m
1 min
State avg: 3 min · US avg: 4 min
44 per 100
State avg: 46 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
54%below avg
US avg: 64%
Total Nurse Weekend
1h 58m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 18, 2025(9 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: June 9, 2024(9 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: May 16, 2022(36 citations)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
25.2 per 100
State avg: 24.2 · US avg: 23.9
6.4 per 100
State avg: 12.2 · US avg: 12.0
5.9 per 100
State avg: 3.2 · US avg: 3.3
4.4 per 100
State avg: 6.2 · US avg: 5.1
4.0 per 100
State avg: 2.2 · US avg: 1.6
67.9 per 100
State avg: 78.2 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
16/100
Incentive Payment
-1.85% penalty
Healthcare-Assoc. Infections
7.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
19.5 days
Avg Payment / Stay
$8,511.28
Patient Complexity
2.27 × 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 Harm
Infection Control Deficiencies
Complaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyAdministration Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyAdministration Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation Deficiencies
🔴 Immediate JeopardyResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyAdministration Deficiencies
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