Cycle 1
Health 2025-07-31 · Fire 2025-07-31
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pompano Beach, FL
John Knox Village Of Pompano Beach
4-star overall rating with 3-star inspections with 5 recent health deficiencies
700 Sw 4th Street, Pompano Beach, FL
(954) 783-4001
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
194
Certified beds
Average residents
167
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
1.00
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.69
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
5.51
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.23
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.82
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
5.86
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,001
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.18
Composite VBP score used to determine payment impact.
Payment multiplier
1.0163
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.40
Baseline 20.52% · Performance 19.39% · Measure score 4.40 · Achievement 4.40 · Improvement 2.72
Healthcare-associated infections
3.22
Baseline 6.54% · Performance 6.87% · Measure score 3.22 · Achievement 3.22 · Improvement 0
Total nurse turnover
10
Baseline 26.87% · Performance 15.30% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.85
Baseline 4.97 hours · Performance 5.03 hours · Measure score 6.85 · Achievement 6.85 · Improvement 0.21
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.36% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 889 · Observed rate 8.77% · Lower 95% interval 8.66% |
| Discharge to community | 60.41% |
50.57%
9.8 pts better
|
Better than the National Rate · Eligible stays 880 · Observed rate 56.93% · Lower 95% interval 56.7% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.93% |
95.27%
3.7 pts better
|
Numerator 556 · Denominator 562 |
| Falls with major injury | 0.71% |
0.77%
0.1 pts better
|
Numerator 4 · Denominator 562 |
| Discharge self-care score | 55.71% |
53.69%
2 pts better
|
Numerator 234 · Denominator 420 |
| Discharge mobility score | 50.71% |
50.94%
0.2 pts worse
|
Numerator 213 · Denominator 420 |
| Pressure ulcers or injuries, new or worsened | 0.53% |
2.29%
1.8 pts better
|
Numerator 3 · Denominator 562 · Adjusted rate 0.59% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 522 · Observed rate 6.13% · Lower 95% interval 5.25% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 263 |
| Staff flu vaccination coverage | 40.68% |
42%
1.3 pts worse
|
Numerator 107 · Denominator 263 |
| Discharge function score | 60.24% |
56.45%
3.8 pts better
|
Numerator 253 · Denominator 420 |
| Transfer of health information to provider | 98.4% |
95.95%
2.5 pts better
|
Numerator 184 · Denominator 187 |
| Transfer of health information to patient | 99.7% |
96.28%
3.4 pts better
|
Numerator 328 · Denominator 329 |
| Resident COVID-19 vaccinations up to date | 4.53% |
25.2%
20.7 pts worse
|
Numerator 14 · Denominator 309 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.5 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.2
0.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
97.8%
1.2 pts worse
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 97.3% · Q3 97.2% · Q4 95.5% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.4% |
99.2%
6.8 pts worse
|
95.5%
3.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
2.6%
0.1 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.7% · Q3 2.8% · Q4 3.6% · 4Q avg 2.7% · 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 | 3.9% |
5.9%
2 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.1% · Q3 3.4% · Q4 2.3% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
15.7%
1.4 pts better
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 15.1% · Q3 14.3% · Q4 15.4% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.8% |
9.8%
13 pts worse
|
16.7%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 23.8% · Q3 22.8% · Q4 22.0% · 4Q avg 22.8% · 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 | 16.5% |
11.7%
4.8 pts worse
|
16.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 16.4% · Q3 16.4% · Q4 19.6% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
9.8%
6.9 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 19.5% · Q3 15.3% · Q4 15.3% · 4Q avg 16.7% · 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 0.9% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
0.8%
0.9 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 2.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% |
12.5%
11.1 pts worse
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 32.7% · Q3 19.6% · Q4 17.9% · 4Q avg 23.6% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
5.1%
1.7 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.8% · Q3 10.7% · Q4 4.7% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
94.3%
3.3 pts worse
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 91.5% · Q3 90.6% · Q4 87.4% · 4Q avg 91.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
9.3%
4.1 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 12.4% · Expected 10.3% · 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 · Q1 1.9% · Q2 1.9% · Q3 0.3% · Q4 0.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.2% |
94.7%
7.5 pts worse
|
79.7%
7.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% |
26.2%
1.7 pts worse
|
23.9%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 24.9% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-04 · Fire 2024-04-04
6 health deficiencies
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-20 · Fire 2023-01-20
3 health deficiencies
Top issue: Nutrition and Dietary (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
2024-04-04
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-31
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-09-03
E · Potential for more than minimal harm
2025-07-31
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-31
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-31
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-03
D · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-03
E · Potential for more than minimal harm
2024-04-04
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 2024-05-23
E · Potential for more than minimal harm
2024-04-04
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 2024-05-23
E · Potential for more than minimal harm
2024-04-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-23
E · Potential for more than minimal harm
2024-04-04
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-23
D · Potential for more than minimal harm
2024-04-04
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-23
D · Potential for more than minimal harm
2024-04-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-23
E · Potential for more than minimal harm
2023-01-20
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 2023-02-20
E · Potential for more than minimal harm
2023-01-20
F761 · Pharmacy Service Deficiencies
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 2023-02-20
D · Potential for more than minimal harm
2023-01-20
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-02-20
Penalties and ownership
What sits behind the stars
Ownership
John Knox Village Of Florida, Inc.
5% Or Greater Direct Ownership Interest · Organization
Ali, Kimberly
Operational/Managerial Control · Individual
Ali, Krista
Operational/Managerial Control · Individual
Barbara, Salvatore
Operational/Managerial Control · Individual
Barbara, Salvatore
Corporate Officer · Individual
Belay, Minilik
Operational/Managerial Control · Individual
Bermudez, Juan
Operational/Managerial Control · Individual
Byard, Brandon
Operational/Managerial Control · Individual
Camp Thomas, Kellie
Operational/Managerial Control · Individual
Center For Innovation
Operational/Managerial Control · Organization
Cliftonlarsonallen Llp
Operational/Managerial Control · Organization
Collins, Tamisha
Operational/Managerial Control · Individual
Etienne, Jennifer
Operational/Managerial Control · Individual
Evans, Elizabeth
Operational/Managerial Control · Individual
Folsom, Douglas
Operational/Managerial Control · Individual
Folsom, Douglas
Corporate Officer · Individual
Gold, Ivy
Operational/Managerial Control · Individual
Health Care Professional Consulting Services, Inc.
Operational/Managerial Control · Organization
Hollingsworth, Eslie
Operational/Managerial Control · Individual
Honig, Melissa
Operational/Managerial Control · Individual
Honig, Melissa
Corporate Officer · Individual
Hopkins, Samuel
Operational/Managerial Control · Individual
Kelly, William
Operational/Managerial Control · Individual
Kelly, William
Corporate Officer · Individual
Kimberly, Amy
Operational/Managerial Control · Individual
Koch, Howard
Operational/Managerial Control · Individual
Leray, Rochelle
Operational/Managerial Control · Individual
Lloyd, Shanna
Operational/Managerial Control · Individual
Marte, Evelyn
Operational/Managerial Control · Individual
Mccullough, Tatyana
Operational/Managerial Control · Individual
Mcintyre, Kelly
Operational/Managerial Control · Individual
Mcintyre, Kelly
Corporate Officer · Individual
Mooney, Jennifer
Operational/Managerial Control · Individual
Nexdine LLC
Operational/Managerial Control · Organization
Pointclickcare Corp.
Operational/Managerial Control · Organization
Price, Thom
Operational/Managerial Control · Individual
Quality Care Rehab Inc
Operational/Managerial Control · Organization
Saint Charles, Anouka
Operational/Managerial Control · Individual
Salem, Hana
Operational/Managerial Control · Individual
Stevens, Jennifer
Operational/Managerial Control · Individual
Thelusme, Joucircla
Operational/Managerial Control · Individual
Trustbridge Inc.
Operational/Managerial Control · Organization
Ullah, Shahid
Operational/Managerial Control · Individual
Whiting, Kirsten
Operational/Managerial Control · Individual
Williams, Debbie
Operational/Managerial Control · Individual
Zapata-Jones, Jennifer
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Childrens Comprehensive Care Center Inc
Pompano Beach, FL
1-star overall rating with 2-star inspections with $35,085 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Aviata At The Sea - Pompano Beach
Pompano Beach, FL
1-star overall rating with 1-star inspections with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Ft Lauderdale Health & Rehabilitation Center
Fort Lauderdale, FL
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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