Majestic Care Of South Bend - 2-Star Rehab Facility in South Bend, IN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 13.71%Falls causing major injury 2.81%Pressure ulcers (high-risk) 8.4%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Oct 2024 (610 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
5/5
★★★★★
Private Pay
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 40 min · US avg: 41 min
Total Nurse / Resident / Day
3h 37m
State avg: 3h 43m · US avg: 3h 53m
3 min
State avg: 4 min · US avg: 4 min
75 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
57%below avg
US avg: 64%
Total Nurse Weekend
2h 26m
Federal Penalties
36 penalties · $1,046,898 total
| Date | Type | Fine | Denial Days |
|---|
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 7/15/2024 | Fine | $16,801 | - |
| 7/15/2024 | Fine | $84,256 | - |
| 7/15/2024 | Payment Denial | - | 34 |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
| 8/28/2023 | Fine | $15,265 | - |
Inspection Citations
Survey: October 4, 2024(36 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
🟡 Potential for Harm
N/A
State avg: 22.4 · US avg: 23.9
N/A
State avg: 10.5 · US avg: 12.0
2.8 per 100
State avg: 3.8 · US avg: 3.3
8.4 per 100
State avg: 4.1 · US avg: 5.1
9.3 per 100
State avg: 1.3 · US avg: 1.6
12.5 per 100
State avg: 79.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
19/100
Incentive Payment
-1.79% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
38.7 days
Avg Payment / Stay
$19,920.67
Patient Complexity
3.04 × 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental 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
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental 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
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: August 23, 2024(9 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
Survey: July 15, 2024(12 citations)
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
Survey: February 20, 2024(6 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: January 11, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
+ 4 more survey(s) not shown in snapshot
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