Jefferson Hills, PA

Rehabilitation Center At Jefferson Hills, The

1-star overall rating with 2-star inspections with $8,281 in total fines with 4 recent health deficiencies

540 Coal Valley Road, Jefferson Hills, PA

(412) 466-1125

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-02-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.16

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.04

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

0.46

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

0.66

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

0.20

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

0.79

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.18

CMS adjusted RN staffing hours

Adjusted total hours

0.76

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

4,693

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

Performance score

38.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9920

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

2.60

Baseline 80.28% · Performance 63.08% · Measure score 2.60 · Achievement 0 · Improvement 2.60

Adjusted total nurse staffing

5.18

Baseline 3.77 hours · Performance 4.55 hours · Measure score 5.18 · Achievement 5.18 · Improvement 3.40

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.05%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 21.43% · Lower 95% interval 8.06%
Discharge to community	47.83%	50.57% 2.7 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 40% · Lower 95% interval 34.46%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 53 · Denominator 53
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 53
Discharge self-care score	61.9%	53.69% 8.2 pts better	Numerator 26 · Denominator 42
Discharge mobility score	54.76%	50.94% 3.8 pts better	Numerator 23 · Denominator 42
Pressure ulcers or injuries, new or worsened	3.77%	2.29% 1.5 pts worse	Numerator 2 · Denominator 53 · Adjusted rate 2.98%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	78.13%	8.2% 69.9 pts better	Numerator 50 · Denominator 64
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	52.38%	56.45% 4.1 pts worse	Numerator 22 · Denominator 42
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 39 · Denominator 39
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.2% 0.7 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.4% · Q4 3.6% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	6.5% 5.6 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	8.7%	6.5% 2.2 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 7.4% · Q3 4.2% · Q4 0.0% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.4%	19.9% 7.5 pts better	19.6% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 14.3% · Q3 8.3% · Q4 13.6% · 4Q avg 12.4%
Percentage of long-stay residents who received an antipsychotic medication	2.4%	18.7% 16.3 pts better	16.7% 14.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	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	8.4%	19.6% 11.2 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.8%	18.3% 13.5 pts better	14.9% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.1% · Q3 4.2% · Q4 0.0% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.0%	26.4% 0.6 pts worse	19.8% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 22.4% · Q3 39.6% · Q4 32.5% · 4Q avg 27.0%
Percentage of long-stay residents with pressure ulcers	30.3%	5.3% 25 pts worse	5.1% 25.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 33.2% · Q3 36.6% · Q4 28.6% · 4Q avg 30.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	68.9% 31.1 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	8.0%	9.8% 1.8 pts better	12.0% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.7% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.5% 1 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.2%	68.7% 27.5 pts better	79.7% 16.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.3%	23.1% 7.2 pts worse	23.9% 6.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 28.8% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

4 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

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

11 health deficiencies

Top issue: Administration (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

11 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

J · Immediate jeopardy 2025-05-06

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 2025-05-30

D · Potential for more than minimal harm 2025-03-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-15

D · Potential for more than minimal harm 2024-08-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-28

D · Potential for more than minimal harm 2024-08-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-28

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

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-04-03

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-03

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

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-04-03

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

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2024-04-03

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

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-04-03

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-03

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-03

C · Minimal harm 2024-03-07

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-04-03

C · Minimal harm 2024-03-07

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-04-03

E · Potential for more than minimal harm 2023-12-01

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 2023-12-22

E · Potential for more than minimal harm 2023-12-01

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-12-01

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 2023-12-22

D · Potential for more than minimal harm 2023-12-01

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2023-12-22

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

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 2023-04-14

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

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-04-14