Monroeville, PA

Harmony Physical Rehabilitation

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4365 Northern Pike, Monroeville, PA

(724) 352-1571

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

26

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Concordia Lutheran Ministries

Operator or chain grouping

Approved since

2015-06-20

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 3 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

0.94

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.46

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.39

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.40

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.87

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.80

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.25

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.68

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,968

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9948

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.40% · Performance 21.43% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.13

Baseline 5.07% · Performance 6.60% · Measure score 4.13 · Achievement 4.13 · Improvement 0

Total nurse turnover

9.46

Baseline 53.57% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9

Adjusted total nurse staffing

3.17

Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.81%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 184 · Observed rate 10.87% · Lower 95% interval 8.54%
Discharge to community	65.82%	50.57% 15.2 pts better	Better than the National Rate · Eligible stays 198 · Observed rate 67.17% · Lower 95% interval 59.67%
Medicare spending per beneficiary	0.79	1.02 0.2 pts better
Drug regimen review with follow-up	95.45%	95.27% 0.2 pts better	Numerator 126 · Denominator 132
Falls with major injury	0.76%	0.77% About the same	Numerator 1 · Denominator 132
Discharge self-care score	54.87%	53.69% 1.2 pts better	Numerator 62 · Denominator 113
Discharge mobility score	75.22%	50.94% 24.3 pts better	Numerator 85 · Denominator 113
Pressure ulcers or injuries, new or worsened	2.27%	2.29% About the same	Numerator 3 · Denominator 132 · Adjusted rate 2.86%
Healthcare-associated infections requiring hospitalization	6.6%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 113 · Observed rate 4.42% · Lower 95% interval 4.07%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 45
Staff flu vaccination coverage	54.35%	42% 12.4 pts better	Numerator 25 · Denominator 46
Discharge function score	69.03%	56.45% 12.6 pts better	Numerator 78 · Denominator 113
Transfer of health information to provider	99.07%	95.95% 3.1 pts better	Numerator 106 · Denominator 107
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.74%	25.2% 7.5 pts worse	Numerator 11 · Denominator 62

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	68.9% 30.7 pts better	81.7% 17.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.7% · Q2 99.3% · Q3 99.6% · Q4 100.0% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit	6.6%	9.8% 3.2 pts better	12.0% 5.4 pts better	Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 5.9% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.5% 0.8 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.1% · Q3 0.6% · Q4 0.6% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.5%	68.7% 28.8 pts better	79.7% 17.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.3%	23.1% 3.2 pts worse	23.9% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 22.0% · Expected 20.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-21 · Fire 2025-02-21

1 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-31 · Fire 2024-01-31

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-03-03 · Fire 2023-03-03

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-21

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 2025-03-24

E · Potential for more than minimal harm 2025-02-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-24

C · Minimal harm 2024-01-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-08

D · Potential for more than minimal harm 2023-03-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-21

D · Potential for more than minimal harm 2024-01-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-17

E · Potential for more than minimal harm 2023-11-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-10-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-03-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-03

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 2023-03-31

D · Potential for more than minimal harm 2023-03-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-03

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 2023-03-31

Penalties and ownership

What sits behind the stars

Ownership

Concordia Care Network

5% Or Greater Direct Ownership Interest · Organization

0% 6 facilities 2022-09-01

Falbo, Michael