Mountain City Nursing & Rehabilitation Center - 1-Star Ventilator Rehab Facility in Hazleton, PA | PlacetTRACH / VENTCardiac Rehab ProgramPulmonary ProgramDementia UnitDialysis (On-site)
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 11.76%Falls causing major injury 1.49%Pressure ulcers (high-risk) 3.9%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
CMS Star Ratings
Last inspected: Mar 2025 (431 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
3/5
★★★☆☆
19 min
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 23m
State avg: 3h 54m · US avg: 3h 53m
2 min
State avg: 6 min · US avg: 4 min
41 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 50m
Federal Penalties
18 penalties · $1,542,627 total
| Date | Type | Fine | Denial Days |
|---|
| 3/20/2024 | Fine | $171,403 | - |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Fine | $171,403 | - |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Fine | $171,403 |
20.9 per 100
State avg: 23.1 · US avg: 23.9
10.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
49/100
Incentive Payment
+0.34% bonus
Healthcare-Assoc. Infections
5.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
131
Avg Length of Stay
16.5 days
Avg Payment / Stay
$8,517.04
Patient Complexity
2.95 × 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)
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Payment Denial | - | 39 |
Inspection Citations
Survey: March 27, 2025(6 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Survey: February 7, 2025(18 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for Harm
Survey: January 3, 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: July 10, 2024(15 citations)
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Survey: May 31, 2024(18 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for Harm
+ 7 more survey(s) not shown in snapshot
State avg: 3.2 · US avg: 3.3
3.9 per 100
State avg: 5.3 · US avg: 5.1
2.0 per 100
State avg: 1.5 · US avg: 1.6
94.2 per 100
State avg: 68.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
Resident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟠 Actual Harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Administration Deficiencies
Complaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
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