Cycle 1
Health 2024-10-02 · Fire 2024-10-02
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Rockford, IL
Mercyhealth Javon Bea Hospital -Snf
4-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
2400 N Rockton Ave, Rockford, IL
(815) 971-6295
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
17
Certified beds
Average residents
0
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Mercyhealth System
Operator or chain grouping
Approved since
2021-06-30
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
3 facilities
Chain averages 5 overall / 5 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
8,933
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.89% · Performance 21.77% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.05
Baseline 5.76% · Performance 6.33% · Measure score 5.05 · Achievement 5.05 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
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 | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 9.89% · Lower 95% interval 6.37% |
| Discharge to community | 72.1% |
50.57%
21.5 pts better
|
Better than the National Rate · Eligible stays 93 · Observed rate 75.27% · Lower 95% interval 64.47% |
| Medicare spending per beneficiary | 0.64 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 89.66% |
95.27%
5.6 pts worse
|
Numerator 26 · Denominator 29 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 29 |
| Discharge self-care score | 64% |
53.69%
10.3 pts better
|
Numerator 16 · Denominator 25 |
| Discharge mobility score | 32% |
50.94%
18.9 pts worse
|
Numerator 8 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 1 · Denominator 29 · Adjusted rate 6.34% |
| Healthcare-associated infections requiring hospitalization | 6.33% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 2.33% · Lower 95% interval 2.98% |
| Staff COVID-19 vaccination coverage | 3.33% |
8.2%
4.9 pts worse
|
Numerator 1 · Denominator 30 |
| Staff flu vaccination coverage | 90% |
42%
48 pts better
|
Numerator 27 · Denominator 30 |
| Discharge function score | 48% |
56.45%
8.5 pts worse
|
Numerator 12 · Denominator 25 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
68.8%
28.1 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · 4Q avg 96.9% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-17 · Fire 2023-10-17
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-08-17 · Fire 2022-08-17
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-02
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-16
F · Potential for more than minimal harm
2023-10-17
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-12-17
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Mercy Health Corporation
5% Or Greater Direct Ownership Interest · Organization
Arevalo, Carlos
Corporate Director · Individual
Bea, Javon
Corporate Director · Individual
Bea, Javon
Corporate Officer · Individual
Benning, Joanna
Corporate Officer · Individual
Brinkerhoff, Robert
Corporate Officer · Individual
Budd, Thomas
Corporate Director · Individual
Cranley, Edward
Corporate Officer · Individual
Dorsey, John
Operational/Managerial Control · Individual
Dorsey, John
Corporate Officer · Individual
Goelzer, Mark
Corporate Director · Individual
Goelzer, Mark
Corporate Officer · Individual
Hallatt, Jennifer
Corporate Officer · Individual
Jost, Wesley
Corporate Director · Individual
Killpack, Tyler
Corporate Officer · Individual
Kus, Katherine
Operational/Managerial Control · Individual
Kus, Katherine
Corporate Director · Individual
Malas, Joseph
Operational/Managerial Control · Individual
Malas, Joseph
Corporate Officer · Individual
Olia, Ali
Corporate Officer · Individual
Olson, Bradley
Corporate Officer · Individual
Pool, Thomas
Corporate Director · Individual
Sankey, Kara
Corporate Officer · Individual
Scaccia, Kimberly
Corporate Officer · Individual
Schack, Katherine
Corporate Director · Individual
Syverson, David
Corporate Director · Individual
Udy, Ladd
Corporate Officer · Individual
Whitaker, Amy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Amberwood Care Centre
Rockford, IL
4-star overall rating with 4-star inspections with 11 recent health deficiencies
#2
Willows Health Center
Rockford, IL
4-star overall rating with 4-star inspections with $12,909 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Rock River Health Care
Rockford, IL
2-star overall rating with 2-star inspections with abuse icon flag with $72,260 in total fines with 20 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
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