Brandon, FL

Victoria Crossing Rehabilitation Center

0-star overall rating with 0-star inspections

701 Victoria St, Brandon, FL

(813) 681-4220

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

2024-02-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

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

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,663

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

Performance score

2

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 23.27% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0

Performance 8.51% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

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

0.6

Performance 3.25 hours · Measure score 0.6 · Achievement 0.6 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.27%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 12.2% · Lower 95% interval 7.73%
Discharge to community	54.47%	50.57% 3.9 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 47.62% · Lower 95% interval 44.56%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	97.92%	95.27% 2.7 pts better	Numerator 376 · Denominator 384
Falls with major injury	0.52%	0.77% 0.2 pts better	Numerator 2 · Denominator 384
Discharge self-care score	53.68%	53.69% About the same	Numerator 124 · Denominator 231
Discharge mobility score	54.98%	50.94% 4 pts better	Numerator 127 · Denominator 231
Pressure ulcers or injuries, new or worsened	1.04%	2.29% 1.2 pts better	Numerator 4 · Denominator 384 · Adjusted rate 0.65%
Healthcare-associated infections requiring hospitalization	8.51%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 115 · Observed rate 10.43% · Lower 95% interval 4.54%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 155
Staff flu vaccination coverage	67.26%	42% 25.3 pts better	Numerator 76 · Denominator 113
Discharge function score	53.25%	56.45% 3.2 pts worse	Numerator 123 · Denominator 231
Transfer of health information to provider	97.96%	95.95% 2 pts better	Numerator 144 · Denominator 147
Transfer of health information to patient	99.34%	96.28% 3.1 pts better	Numerator 151 · Denominator 152
Resident COVID-19 vaccinations up to date	0.49%	25.2% 24.7 pts worse	Numerator 1 · Denominator 206

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 3.5 · Expected 3.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.2 0.5 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 1.0 · Expected 2.6 · Used in QM five-star
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 · 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%	99.2% 0.8 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	2.3%	2.6% 0.3 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.4% · Q3 2.7% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.8%	3.7% 1.9 pts better	11.4% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 4.3% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight	3.5%	5.9% 2.4 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 3.0% · Q4 7.7% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.5%	15.7% 12.8 pts worse	19.6% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 26.4% · Q3 26.8% · Q4 29.2% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication	4.0%	9.8% 5.8 pts better	16.7% 12.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.8% · Q3 2.0% · Q4 7.3% · 4Q avg 4.0% · 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 · 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	9.3%	11.7% 2.4 pts better	16.3% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 19.1% · Q4 10.2% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.7%	9.8% 3.1 pts better	14.9% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 7.7% · Q4 12.3% · 4Q avg 6.7% · 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 · 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%	0.8% 0.8 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	5.4%	12.5% 7.1 pts better	19.8% 14.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.8% · Q3 4.2% · Q4 8.4% · 4Q avg 5.4%
Percentage of long-stay residents with pressure ulcers	9.5%	5.1% 4.4 pts worse	5.1% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.8% · Q3 12.3% · Q4 9.4% · 4Q avg 9.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	94.3% 5 pts better	81.7% 17.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 99.3% · Q4 98.5% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit	6.6%	9.3% 2.7 pts better	12.0% 5.4 pts better	Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.5% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.5% 1.1 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 1.1% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.7%	94.7% 5 pts better	79.7% 20 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.8%	26.2% 0.4 pts better	23.9% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 32.3% · Expected 29.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-07 · Fire 2024-02-07

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health · Fire

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-08

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-08

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-02-04

D · Potential for more than minimal harm 2026-01-08

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 2026-02-04

E · Potential for more than minimal harm 2024-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-09-05

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 2024-09-30

D · Potential for more than minimal harm 2024-09-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-09-05

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-30

Penalties and ownership

What sits behind the stars

Ownership

Brandon Health Member LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2022-04-01

Flnho Capital Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 30 facilities 2022-04-01

Landa, Benjamin