0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Boca Raton, FL
5-star overall rating with 5-star inspections
21044 95th Avenue South, Boca Raton, FL
(561) 609-4100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-12-20
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.63
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.87
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
6.47
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.61
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.98
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.37
CMS adjusted RN staffing hours
Adjusted total hours
5.43
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
2,760
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0016
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.55% · Performance 23.60% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.33
Baseline 5.76% · Performance 6.54% · Measure score 4.33 · Achievement 4.33 · Improvement 0
Total nurse turnover
7.25
Baseline 48.81% · Performance 34.07% · Measure score 7.25 · Achievement 7.25 · Improvement 5.65
Adjusted total nurse staffing
7.59
Baseline 5.71 hours · Performance 5.24 hours · Measure score 7.59 · Achievement 7.59 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.82% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 855 · Observed rate 6.43% · Lower 95% interval 7.27% |
| Discharge to community | 71.44% |
50.57%
20.9 pts better
|
Better than the National Rate · Eligible stays 900 · Observed rate 70.67% · Lower 95% interval 68.54% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.71% |
95.27%
1.4 pts better
|
Numerator 558 · Denominator 577 |
| Falls with major injury | 0.17% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 577 |
| Discharge self-care score | 33.25% |
53.69%
20.4 pts worse
|
Numerator 138 · Denominator 415 |
| Discharge mobility score | 55.18% |
50.94%
4.2 pts better
|
Numerator 229 · Denominator 415 |
| Pressure ulcers or injuries, new or worsened | 0.17% |
2.29%
2.1 pts better
|
Numerator 1 · Denominator 577 · Adjusted rate 0.24% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 559 · Observed rate 4.83% · Lower 95% interval 4.8% |
| Staff COVID-19 vaccination coverage | 37.09% |
8.2%
28.9 pts better
|
Numerator 56 · Denominator 151 |
| Staff flu vaccination coverage | 19.44% |
42%
22.6 pts worse
|
Numerator 21 · Denominator 108 |
| Discharge function score | 52.77% |
56.45%
3.7 pts worse
|
Numerator 219 · Denominator 415 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 145 · Denominator 145 |
| Transfer of health information to patient | 99.76% |
96.28%
3.5 pts better
|
Numerator 408 · Denominator 409 |
| Resident COVID-19 vaccinations up to date | 6.92% |
25.2%
18.3 pts worse
|
Numerator 20 · Denominator 289 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.3% |
15.7%
16.6 pts worse
|
19.6%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
9.8%
10.2 pts worse
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% |
9.8%
6.2 pts better
|
14.9%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.4%
0.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
12.5%
1.1 pts worse
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
5.1%
5.2 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
94.3%
5.6 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
9.3%
4 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 10.2% · Expected 8.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.7% · Q3 0.9% · Q4 1.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.7%
2.1 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.5% |
26.2%
12.3 pts worse
|
23.9%
14.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.5% · Observed 27.6% · Expected 17.1% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-19
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-10-14
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-13
Inspection history
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-03-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-04
Health
Post nurse staffing information every day.
Corrected 2022-10-14
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-11-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Nearby options
Boca Raton, FL
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Boca Raton, FL
3-star overall rating with 2-star inspections with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Boca Raton, FL
2-star overall rating with 2-star inspections with $31,736 in total fines with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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