St Francis Center For Rehabilitation & Healthcare - 3-Star Tracheostomy Rehab Facility in Darby, PA | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use Not reportedFalls causing major injury 0.41%Pressure ulcers (high-risk) 4.39%Admissions Contacts
CMS Star Ratings
Last inspected: Jul 2025 (279 days ago)🔍 Health Inspection
3/5
★★★☆☆
24.4
%
TRACHWound VacIV AntibioticsDementia Unit
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 38m
State avg: 3h 54m · US avg: 3h 53m
4 min
State avg: 6 min · US avg: 4 min
57 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
3h 51m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 18, 2025(9 citations)
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: September 26, 2024(33 citations)
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: April 24, 2024(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: January 9, 2024(3 citations)
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: December 1, 2023(21 citations)
🟡 Potential for HarmResident Rights 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
+ 2 more survey(s) not shown in snapshot
24.4 per 100
State avg: 23.1 · US avg: 23.9
9.1 per 100
State avg: 9.8 · US avg: 12.0
0.4 per 100
State avg: 3.2 · US avg: 3.3
4.4 per 100
State avg: 5.3 · US avg: 5.1
1.5 per 100
State avg: 1.5 · US avg: 1.6
56.4 per 100
State avg: 68.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
37/100
Incentive Payment
-0.98% penalty
Healthcare-Assoc. Infections
6.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
148
Avg Length of Stay
29.4 days
Avg Payment / Stay
$18,241.93
Patient Complexity
3.29 × 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 HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
Complaint
🟡 Potential for HarmResident Rights 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental DeficienciesComplaint