The Willows At Ramapo Rehab And Nursing Center - 4-Star Rehab Facility in Suffern, NY | Placet0.39h
RN HOURS
per resident/day
4/5
CMS STARS
overall rating
3.9★Enhanced
TRUST INDEX
Placet score
16.9%
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 10.83%Falls causing major injury 4.31%Pressure ulcers (high-risk) 5.85%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (265 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
5/5
★★★★★
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Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 42 min · US avg: 41 min
Total Nurse / Resident / Day
3h 13m
State avg: 3h 39m · US avg: 3h 53m
8 min
State avg: 7 min · US avg: 4 min
25 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
50%below avg
US avg: 64%
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 24, 2025(3 citations)
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
Survey: March 4, 2025(3 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: November 17, 2023(21 citations)
🟡 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: April 18, 2019(36 citations)
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
Survey: July 7, 2017(6 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
16.9 per 100
State avg: 20.6 · US avg: 23.9
7.1 per 100
State avg: 9.7 · US avg: 12.0
4.3 per 100
State avg: 3.0 · US avg: 3.3
5.8 per 100
State avg: 7.0 · US avg: 5.1
0.5 per 100
State avg: 1.2 · US avg: 1.6
50.6 per 100
State avg: 78.8 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
33/100
Incentive Payment
-1.28% penalty
Healthcare-Assoc. Infections
9.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
373
Avg Length of Stay
34.0 days
Avg Payment / Stay
$27,086.74
Patient Complexity
2.87 × 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
Resident Rights Deficiencies
Complaint
🟡 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for Harm
Pharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies