Embassy Of Woodland Park - 3-Star Rehab Facility in Orbisonia, PA | PlacetIV AntibioticsCardiac Rehab ProgramStroke ProgramOrthopedic ProgramPulmonary ProgramDementia Unit
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 25.74%Falls causing major injury 1.83%Pressure ulcers (high-risk) 2.69%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Aug 2025 (284 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
22 min
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 41m
State avg: 3h 54m · US avg: 3h 53m
1 min
State avg: 6 min · US avg: 4 min
24 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
51%below avg
US avg: 64%
Total Nurse Weekend
3h 18m
Federal Penalties
9 penalties · $73,395 total
| Date | Type | Fine | Denial Days |
|---|
| 7/10/2024 | Fine | $8,155 | - |
| 7/10/2024 | Fine | $8,155 | - |
| 7/10/2024 | Fine | $8,155 | - |
| 7/10/2024 | Fine | $8,155 | - |
| 7/10/2024 | Fine | $8,155 |
17.9 per 100
State avg: 23.1 · US avg: 23.9
5.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
62/100
Incentive Payment
+1.71% bonus
Healthcare-Assoc. Infections
6.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
22.4 days
Avg Payment / Stay
$10,753.71
Patient Complexity
2.26 × 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: August 19, 2025(3 citations)
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: July 7, 2025(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: April 1, 2025(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: October 3, 2024(39 citations)
⚪ MinimalResident 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
Survey: January 29, 2024(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
+ 2 more survey(s) not shown in snapshot
State avg: 3.2 · US avg: 3.3
2.7 per 100
State avg: 5.3 · US avg: 5.1
0.9 per 100
State avg: 1.5 · US avg: 1.6
84.3 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 Harm
Pharmacy Service Deficiencies
Complaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
⚪ MinimalResident 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
⚪ MinimalResident 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
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