Cycle 1
Health 2024-11-21 · Fire 2024-11-21
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Carrabelle, FL
Arabella Health & Wellness Of Carrabelle
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
239 Crooked River Road, Carrabelle, FL
(850) 697-2020
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
74
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eliyahu Mirlis
Operator or chain grouping
Approved since
2009-09-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.36
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
4.02
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,204
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9938
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.24
Baseline 22.90% · Performance 21.29% · Measure score 2.24 · Achievement 0 · Improvement 2.24
Healthcare-associated infections
2.98
Baseline 8.42% · Performance 7.23% · Measure score 2.98 · Achievement 2.02 · Improvement 2.98
Total nurse turnover
7.05
Performance 34.85% · Measure score 7.05 · Achievement 7.05 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.09
Baseline 4.59 hours · Performance 4.24 hours · Measure score 4.09 · Achievement 4.09 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.26% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 7.59% |
| Discharge to community | 46.95% |
50.57%
3.6 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 41.38% · Lower 95% interval 33.56% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 34 · Denominator 34 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 34 |
| Discharge self-care score | 38.46% |
53.69%
15.2 pts worse
|
Numerator 10 · Denominator 26 |
| Discharge mobility score | 34.62% |
50.94%
16.3 pts worse
|
Numerator 9 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 34 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.23% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 6.6% |
8.2%
1.6 pts worse
|
Numerator 7 · Denominator 106 |
| Staff flu vaccination coverage | 24.69% |
42%
17.3 pts worse
|
Numerator 20 · Denominator 81 |
| Discharge function score | 53.85% |
56.45%
2.6 pts worse
|
Numerator 14 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.2
1 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.6%
About the same
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.4% · Q3 1.5% · Q4 1.4% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
3.7%
0.7 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 5.0% · Q4 3.6% · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
5.9%
3 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.3% · Q3 11.5% · Q4 6.9% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.0% |
15.7%
9.7 pts better
|
19.6%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.3% · Q3 5.3% · Q4 4.9% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
9.8%
3.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.5% · Q3 6.8% · Q4 6.5% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.2% |
11.7%
2.5 pts better
|
16.3%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 14.4% · Q4 17.1% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
9.8%
1.9 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 8.6% · Q3 9.1% · Q4 10.2% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.4%
0.3 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
0.8%
1.1 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.6% · Q4 4.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.6% |
12.5%
3.1 pts worse
|
19.8%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 21.6% · Q3 11.2% · Q4 16.0% · 4Q avg 15.6% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.1%
2.8 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.1% · Q3 1.6% · Q4 2.7% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.0% |
9.3%
3.7 pts worse
|
12.0%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 3.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.8% |
26.2%
12.4 pts better
|
23.9%
10.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 12.9% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-09 · Fire 2023-08-09
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-04-21 · Fire 2022-04-21
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-11-21
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-28
D · Potential for more than minimal harm
2024-11-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-28
D · Potential for more than minimal harm
2024-11-21
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-01-28
D · Potential for more than minimal harm
2023-08-09
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-18
D · Potential for more than minimal harm
2023-08-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-18
D · Potential for more than minimal harm
2023-08-09
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2023-09-18
D · Potential for more than minimal harm
2023-08-09
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-07
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-15
D · Potential for more than minimal harm
2022-04-21
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-05-13
Penalties and ownership
What sits behind the stars
Ownership
Arabella Of Carrabelle Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Mirlis, Eliyahu
5% Or Greater Indirect Ownership Interest · Individual
Cook, Courtney
Operational/Managerial Control · Individual
Elliott, Jared
Operational/Managerial Control · Individual
Keen, David
Operational/Managerial Control · Individual
Mirlis, Eliyahu
Operational/Managerial Control · Individual
Mirlis, Eliyahu
Corporate Officer · Individual
Vered Healthcare Group LLC
Operational/Managerial Control · Organization
Weseman, Laura
Operational/Managerial Control · Individual
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