The Gardens Of St. Francis - 3-Star Rehab Facility in Oregon, OH | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 0.88%Falls causing major injury 6.21%Pressure ulcers (high-risk) 1.91%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Mar 2024 (821 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 38 min · US avg: 41 min
Total Nurse / Resident / Day
4h 10m
State avg: 3h 44m · US avg: 3h 53m
3 min
State avg: 3 min · US avg: 4 min
42 per 100
State avg: 50 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
21%well below avg
US avg: 64%
Federal Penalties
18 penalties · $407,250 total
| Date | Type | Fine | Denial Days |
|---|
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
| 2/1/2024 | Fine | $45,250 | - |
| 2/1/2024 | Payment Denial | - | 7 |
Inspection Citations
Survey: March 7, 2024(3 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
Survey: February 1, 2024(27 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
30.5 per 100
State avg: 25.1 · US avg: 23.9
16.6 per 100
State avg: 12.5 · US avg: 12.0
6.2 per 100
State avg: 3.3 · US avg: 3.3
1.9 per 100
State avg: 3.7 · US avg: 5.1
0.0 per 100
State avg: 1.2 · US avg: 1.6
49.3 per 100
State avg: 75.6 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
5/100
Incentive Payment
-1.95% penalty
Healthcare-Assoc. Infections
8.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
27.6 days
Avg Payment / Stay
$13,151.77
Patient Complexity
2.71 × 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 HarmQuality of Life and Care Deficiencies
🟠 Actual 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: October 11, 2023(3 citations)
🟠 Actual HarmPharmacy Service DeficienciesComplaint
🟠 Actual HarmPharmacy Service DeficienciesComplaint
🟠 Actual HarmPharmacy Service DeficienciesComplaint
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