Meadowbrook, PA

Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)

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

1648 Huntingdon Pike, Meadowbrook, PA

(215) 938-4076

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

21

Certified beds

Average residents

15

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-09-05

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

4.05

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

2.32

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

6.37

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

4.05

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

6.09

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

3.84

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.95

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

3.71

CMS adjusted RN staffing hours

Adjusted total hours

5.84

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

510

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

Performance score

68.58

Composite VBP score used to determine payment impact.

Payment multiplier

1.0216

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.67

Baseline 20.59% · Performance 20.66% · Measure score 1.67 · Achievement 1.67 · Improvement 0

Healthcare-associated infections

10

Baseline 4.86% · Performance 4.37% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

8.91

Baseline 15.00% · Performance 27.27% · Measure score 8.91 · Achievement 8.91 · Improvement 0

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.57%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 415 · Observed rate 9.16% · Lower 95% interval 9.13%
Discharge to community	69.99%	50.57% 19.4 pts better	Better than the National Rate · Eligible stays 410 · Observed rate 76.59% · Lower 95% interval 67.07%
Medicare spending per beneficiary	0.58	1.02 0.4 pts better
Drug regimen review with follow-up	97.51%	95.27% 2.2 pts better	Numerator 235 · Denominator 241
Falls with major injury	0.83%	0.77% 0.1 pts worse	Numerator 2 · Denominator 241
Discharge self-care score	78.83%	53.69% 25.1 pts better	Numerator 175 · Denominator 222
Discharge mobility score	67.57%	50.94% 16.6 pts better	Numerator 150 · Denominator 222
Pressure ulcers or injuries, new or worsened	2.49%	2.29% 0.2 pts worse	Numerator 6 · Denominator 241 · Adjusted rate 5.08%
Healthcare-associated infections requiring hospitalization	4.37%	7.12% 2.8 pts better	Better than the National Rate · Eligible stays 207 · Observed rate 0.48% · Lower 95% interval 2.36%
Staff COVID-19 vaccination coverage	2.86%	8.2% 5.3 pts worse	Numerator 6 · Denominator 210
Staff flu vaccination coverage	98.97%	42% 57 pts better	Numerator 192 · Denominator 194
Discharge function score	68.92%	56.45% 12.5 pts better	Numerator 153 · Denominator 222
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 238 · Denominator 238
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	6.3%	25.2% 18.9 pts worse	Numerator 8 · Denominator 127

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	68.9% 30.1 pts better	81.7% 17.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.9% · Q3 99.2% · Q4 98.8% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit	5.5%	9.8% 4.3 pts better	12.0% 6.5 pts better	Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.1% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.5% 0.5 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 1.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.5%	68.7% 29.8 pts better	79.7% 18.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.3%	23.1% 2.8 pts better	23.9% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 16.4% · Expected 19.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-15 · Fire 2025-01-15

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-03-07 · Fire 2024-03-07

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-04-20 · Fire 2023-04-20

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-15

E · Potential for more than minimal harm 2025-01-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-03-15

D · Potential for more than minimal harm 2024-03-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-15

C · Minimal harm 2023-04-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-05-12

Inspection history

Recent health citations

C · Minimal harm 2025-01-15

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-02-07

Penalties and ownership

What sits behind the stars

Ownership

Holy Redeemer Health System

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2011-09-05

Dupree, Beth