Cycle 1
Health 2026-01-08 · Fire 2026-01-08
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Tallahassee, FL
Centre Pointe Health And Rehab Center
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2255 Centerville Road, Tallahassee, FL
(850) 386-4054
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
127
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Clear Choice Healthcare
Operator or chain grouping
Approved since
1987-06-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 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
0.57
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.73
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
4.80
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,378
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9898
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.30
Baseline 26.44% · Performance 20.98% · Measure score 5.30 · Achievement 0.97 · Improvement 5.30
Healthcare-associated infections
0
Baseline 6.21% · Performance 8.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.95
Performance 47.54% · Measure score 3.95 · Achievement 3.95 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.31
Baseline 4.51 hours · Performance 4.59 hours · Measure score 5.31 · Achievement 5.31 · Improvement 0.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.71% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 451 · Observed rate 13.53% · Lower 95% interval 9.97% |
| Discharge to community | 54.49% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 433 · Observed rate 49.42% · Lower 95% interval 49.43% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.72% |
95.27%
3.5 pts better
|
Numerator 308 · Denominator 312 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 312 |
| Discharge self-care score | 44.6% |
53.69%
9.1 pts worse
|
Numerator 95 · Denominator 213 |
| Discharge mobility score | 38.03% |
50.94%
12.9 pts worse
|
Numerator 81 · Denominator 213 |
| Pressure ulcers or injuries, new or worsened | 0.64% |
2.29%
1.6 pts better
|
Numerator 2 · Denominator 312 · Adjusted rate 0.67% |
| Healthcare-associated infections requiring hospitalization | 8.48% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 274 · Observed rate 8.39% · Lower 95% interval 5.96% |
| Staff COVID-19 vaccination coverage | 17.14% |
8.2%
8.9 pts better
|
Numerator 24 · Denominator 140 |
| Staff flu vaccination coverage | 18.82% |
42%
23.2 pts worse
|
Numerator 32 · Denominator 170 |
| Discharge function score | 49.77% |
56.45%
6.7 pts worse
|
Numerator 106 · Denominator 213 |
| Transfer of health information to provider | 92.86% |
95.95%
3.1 pts worse
|
Numerator 91 · Denominator 98 |
| Transfer of health information to patient | 96.47% |
96.28%
0.2 pts better
|
Numerator 164 · Denominator 170 |
| Resident COVID-19 vaccinations up to date | 1.86% |
25.2%
23.3 pts worse
|
Numerator 3 · Denominator 161 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.1
1.2 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.2 · Expected 1.8 · 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 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
97.8%
1.9 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| 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 | 1.7% |
2.6%
0.9 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 5.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.7%
3.7 pts better
|
11.4%
11.4 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 who lose too much weight | 8.6% |
5.9%
2.7 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.2% · Q3 8.6% · Q4 6.3% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
15.7%
8.1 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.4% · Q3 6.8% · Q4 4.2% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
9.8%
0.6 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 8.3% · Q3 10.2% · Q4 11.7% · 4Q avg 9.2% · 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 | 10.9% |
11.7%
0.8 pts better
|
16.3%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 13.3% · Q3 16.0% · Q4 0.0% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
9.8%
3.2 pts worse
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.4% · Q3 17.4% · Q4 10.4% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.4%
0.2 pts worse
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
0.8%
2.4 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.6% · Q3 2.8% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.1% |
12.5%
3.4 pts better
|
19.8%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 18.7% · Q3 5.6% · Q4 6.0% · 4Q avg 9.1% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.1%
1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.4% · Q3 3.2% · Q4 4.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.3%
5.1 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.2% · Q3 99.4% · Q4 99.5% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
9.3%
3.8 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 13.2% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.5%
0.5 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.2% · Q3 2.9% · Q4 3.2% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.1% |
94.7%
3.4 pts better
|
79.7%
18.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.3% |
26.2%
3.1 pts worse
|
23.9%
5.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 29.9% · Expected 24.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-29 · Fire 2024-08-29
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-06-22 · Fire 2023-06-22
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2026-01-08
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Not marked corrected
D · Potential for more than minimal harm
2026-01-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Not marked corrected
D · Potential for more than minimal harm
2026-01-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
D · Potential for more than minimal harm
2026-01-08
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Not marked corrected
D · Potential for more than minimal harm
2024-08-29
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-08-29
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-08-29
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-08-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-08-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-08-29
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-11-05
D · Potential for more than minimal harm
2023-04-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-17
D · Potential for more than minimal harm
2023-04-05
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-17
D · Potential for more than minimal harm
2023-04-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-08
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-03-04
D · Potential for more than minimal harm
2026-01-08
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-03-04
D · Potential for more than minimal harm
2026-01-08
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-03-04
D · Potential for more than minimal harm
2026-01-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-04
D · Potential for more than minimal harm
2026-01-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-04
D · Potential for more than minimal harm
2026-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-03-04
D · Potential for more than minimal harm
2024-08-29
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-09-29
D · Potential for more than minimal harm
2024-08-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-29
D · Potential for more than minimal harm
2024-07-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-04-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-30
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-30
D · Potential for more than minimal harm
2023-06-22
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-22
D · Potential for more than minimal harm
2023-06-22
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-22
Penalties and ownership
What sits behind the stars
Ownership
Sbk Capital, LLC
5% Or Greater Direct Ownership Interest · Organization
Brown, Vicki
W-2 Managing Employee · Individual
Clear Choice Health Care LLC
Operational/Managerial Control · Organization
Hensley, Kristen
W-2 Managing Employee · Individual
Kennedy, Deborah
Operational/Managerial Control · Individual
Kennedy, Deborah
Corporate Officer · Individual
Nearby options
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#2
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4-star overall rating with 4-star inspections with 7 recent health deficiencies
#3
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3-star overall rating with 2-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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