Gardens At Stevens, The - 2-Star Tracheostomy Rehab Facility in Stevens, PA | PlacetTRACHIV AntibioticsBariatric CareCardiac Rehab ProgramStroke ProgramOrthopedic ProgramDementia UnitDialysis (On-site)
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 12.14%Falls causing major injury 3.69%Pressure ulcers (high-risk) 5.23%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
CMS Star Ratings
Last inspected: Jun 2025 (368 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
3/5
★★★☆☆
37 min
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 5m
State avg: 3h 54m · US avg: 3h 53m
3 min
State avg: 6 min · US avg: 4 min
55 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
74%above avg
US avg: 64%
Total Nurse Weekend
4h 25m
Federal Penalties
9 penalties · $502,263 total
| Date | Type | Fine | Denial Days |
|---|
| 2/1/2024 | Fine | $55,807 | - |
| 2/1/2024 | Fine | $55,807 | - |
| 2/1/2024 | Fine | $55,807 | - |
| 2/1/2024 | Fine | $55,807 | - |
| 2/1/2024 | Fine | $55,807 |
18.9 per 100
State avg: 23.1 · US avg: 23.9
16.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
17/100
Incentive Payment
-1.82% penalty
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
18.9 days
Avg Payment / Stay
$9,754.32
Patient Complexity
2.80 × 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)
Inspection Citations
Survey: June 4, 2025(18 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
Survey: March 14, 2025(24 citations)
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
Survey: January 21, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: April 3, 2024(3 citations)
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: February 1, 2024(39 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
+ 4 more survey(s) not shown in snapshot
State avg: 3.2 · US avg: 3.3
5.2 per 100
State avg: 5.3 · US avg: 5.1
0.5 per 100
State avg: 1.5 · US avg: 1.6
62.4 per 100
State avg: 68.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning 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
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning 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
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
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