Providence Rehab And Hlthcare Ctratmercyfitzgerald - 4-Star Dialysis Rehab Facility in Yeadon, PA | PlacetProvidence Rehabilitation and Healthcare Ctratmercyfitzgerald
600 South Wycombe Ave, Yeadon, PA 19050
★ 4/5 CMS OverallRN 39 min/dayLPN 1h 1m/dayCNA 1h 58m/day✓ No penalties (3 yr)
Orthopedic ProgramDementia Unit
0.65h
RN HOURS
per resident/day
4/5
CMS STARS
overall rating
3.9★Enhanced
TRUST INDEX
Placet score
19.2%
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 2.13%Falls causing major injury 3.91%Pressure ulcers (high-risk) 7.81%Admissions Contacts
Availability & Insurance
Payer Types
MedicareMedicaidCommercialPrivate Pay CMS Star Ratings
Last inspected: May 2025 (346 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
5/5
★★★★★
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Dialysis (On-site)
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
6 min
State avg: 6 min · US avg: 4 min
54 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
42%well below avg
US avg: 64%
Total Nurse Weekend
2h 58m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: May 6, 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 23, 2025(9 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: April 1, 2025(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: January 15, 2025(30 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 HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
Survey: September 23, 2024(3 citations)
⚪ MinimalResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
+ 6 more survey(s) not shown in snapshot
19.2 per 100
State avg: 23.1 · US avg: 23.9
5.9 per 100
State avg: 9.8 · US avg: 12.0
3.9 per 100
State avg: 3.2 · US avg: 3.3
7.8 per 100
State avg: 5.3 · US avg: 5.1
0.5 per 100
State avg: 1.5 · US avg: 1.6
85.4 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
21/100
Incentive Payment
-1.75% penalty
Healthcare-Assoc. Infections
8.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
326
Avg Length of Stay
30.9 days
Avg Payment / Stay
$18,051.31
Patient Complexity
3.98 × 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 Harm
Infection Control Deficiencies
Complaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control 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 HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies