Menard Manor - 3-Star Rehab Facility in Menard, TX | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 18.6%Falls causing major injury 4.85%Pressure ulcers (high-risk) 5.17%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Sep 2024 (625 days ago)🔍 Health Inspection
4/5
★★★★☆
📊 Quality Measures
1/5
★☆☆☆☆
Private Pay
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
3h 39m
State avg: 3h 24m · US avg: 3h 53m
13 min
State avg: 4 min · US avg: 4 min
53 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
94%above avg
US avg: 64%
Total Nurse Weekend
3h 12m
Federal Penalties
9 penalties · $72,162 total
| Date | Type | Fine | Denial Days |
|---|
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
| 3/15/2024 | Fine | $8,018 | - |
Inspection Citations
Survey: September 12, 2024(27 citations)
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
N/A
State avg: 25.9 · US avg: 23.9
N/A
State avg: 12.0 · US avg: 12.0
4.9 per 100
State avg: 3.3 · US avg: 3.3
5.2 per 100
State avg: 4.2 · US avg: 5.1
0.0 per 100
State avg: 1.5 · US avg: 1.6
82.8 per 100
State avg: 88.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
17/100
Incentive Payment
-1.83% penalty
Healthcare-Assoc. Infections
7.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
41.9 days
Avg Payment / Stay
$15,385.4
Patient Complexity
2.05 × 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)
Complaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation 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
⚪ MinimalAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation 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
⚪ MinimalAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
Survey: March 15, 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: August 10, 2023(6 citations)
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: June 29, 2022(6 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
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