Trevecca Center For Rehabilitation And Healing Llc - 4-Star Rehab Facility in Nashville, TN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 6.29%Falls causing major injury 2.17%Pressure ulcers (high-risk) 5.31%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Jun 2023 (1081 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
5/5
★★★★★
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 37 min · US avg: 41 min
Total Nurse / Resident / Day
3h 39m
State avg: 3h 52m · US avg: 3h 53m
5 min
State avg: 5 min · US avg: 4 min
45 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
72%above avg
US avg: 64%
Total Nurse Weekend
3h 20m
Federal Penalties
18 penalties · $83,925 total
| Date | Type | Fine | Denial Days |
|---|
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
| 6/21/2023 | Fine | $3,728 | - |
| 6/21/2023 | Fine | $5,597 | - |
Inspection Citations
Survey: June 21, 2023(33 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 Harm
19.9 per 100
State avg: 22.2 · US avg: 23.9
4.1 per 100
State avg: 11.3 · US avg: 12.0
2.2 per 100
State avg: 3.6 · US avg: 3.3
5.3 per 100
State avg: 5.4 · US avg: 5.1
0.0 per 100
State avg: 1.6 · US avg: 1.6
48.0 per 100
State avg: 79.8 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
35/100
Incentive Payment
-1.13% penalty
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
189
Avg Length of Stay
27.5 days
Avg Payment / Stay
$14,010.3
Patient Complexity
3.13 × 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)
Pharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights 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 HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
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