Madison Carriage Cove Short Stay Rehabilitation - 3-Star Rehab Facility in Rexburg, ID | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 9.09%Falls causing major injury 1.89%Pressure ulcers (high-risk) 5.04%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jan 2025 (453 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 50 min · US avg: 41 min
Total Nurse / Resident / Day
4h 41m
State avg: 4h 4m · US avg: 3h 53m
11 min
State avg: 6 min · US avg: 4 min
54 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
72%above avg
US avg: 64%
Total Nurse Weekend
3h 31m
Federal Penalties
9 penalties · $101,673 total
| Date | Type | Fine | Denial Days |
|---|
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
| 1/23/2025 | Fine | $11,297 | - |
Inspection Citations
Survey: January 23, 2025(33 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual Harm
12.2 per 100
State avg: 17.5 · US avg: 23.9
11.6 per 100
State avg: 11.6 · US avg: 12.0
1.9 per 100
State avg: 2.7 · US avg: 3.3
5.0 per 100
State avg: 3.4 · US avg: 5.1
0.6 per 100
State avg: 1.5 · US avg: 1.6
89.1 per 100
State avg: 86.5 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
61/100
Incentive Payment
+1.57% bonus
Healthcare-Assoc. Infections
5.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
119
Avg Length of Stay
25.2 days
Avg Payment / Stay
$11,079.13
Patient Complexity
1.89 × 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)
Quality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: May 3, 2024(6 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: March 27, 2023(3 citations)
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: October 7, 2022(9 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies