Shrewsbury Rehabilitation And Nursing At Southgate - 5-Star Rehab Facility in Shrewsbury, MA | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 11.22%Falls causing major injury 0.35%Pressure ulcers (high-risk) 4.45%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (216 days ago)โญ Overall
5/5
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๐ Health Inspection
4/5
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๐ฉโโ๏ธ Staffing
2/5
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๐ Quality Measures
5/5
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Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 39 min ยท US avg: 41 min
Total Nurse / Resident / Day
4h 1m
State avg: 3h 52m ยท US avg: 3h 53m
4 min
State avg: 4 min ยท US avg: 4 min
45 per 100
State avg: 39 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
66%โ avg
US avg: 64%
Total Nurse Weekend
3h 25m
Federal Penalties
9 penalties ยท $71,109 total
| Date | Type | Fine | Denial Days |
|---|
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
| 9/19/2023 | Fine | $7,901 | - |
Inspection Citations
Survey: November 4, 2025(3 citations)
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: November 27, 2024(24 citations)
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
โช MinimalResident Assessment and Care Planning Deficiencies
23.4 per 100
State avg: 25.8 ยท US avg: 23.9
9.8 per 100
State avg: 11.8 ยท US avg: 12.0
0.4 per 100
State avg: 3.5 ยท US avg: 3.3
4.4 per 100
State avg: 4.6 ยท US avg: 5.1
0.3 per 100
State avg: 1.3 ยท US avg: 1.6
95.9 per 100
State avg: 77.7 ยท US avg: 79.7
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
VBP Performance Score
33/100
Incentive Payment
-1.25% penalty
Healthcare-Assoc. Infections
5.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
112
Avg Length of Stay
18.7 days
Avg Payment / Stay
$10,681.13
Patient Complexity
2.93 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)
โช MinimalResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
โช MinimalResident Assessment and Care Planning Deficiencies
โช MinimalResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
โช MinimalResident Assessment and Care Planning Deficiencies
โช MinimalResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
Survey: December 6, 2023(3 citations)
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
Survey: September 19, 2023(9 citations)
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
Survey: August 3, 2023(3 citations)
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
+ 1 more survey(s) not shown in snapshot
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