Cycle 1
Health 2024-07-18 · Fire 2024-07-18
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Boca Raton, FL
Yamato Nursing And Rehabilitation Center
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
375 Nw 51st Street, Boca Raton, FL
(561) 997-8111
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
180
Certified beds
Average residents
171
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1984-09-18
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.89
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
3.84
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,519
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.6
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.98
Baseline 23.17% · Performance 22.26% · Measure score 0.98 · Achievement 0 · Improvement 0.98
Healthcare-associated infections
0
Baseline 7.22% · Performance 8.86% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 40.97% · Performance 20.30% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.06
Baseline 3.82 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.85% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 12.9% · Lower 95% interval 9.25% |
| Discharge to community | 45.7% |
50.57%
4.9 pts worse
|
No Different than the National Rate · Eligible stays 137 · Observed rate 40.88% · Lower 95% interval 38.56% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.03% |
95.27%
2.8 pts better
|
Numerator 149 · Denominator 152 |
| Falls with major injury | 1.97% |
0.77%
1.2 pts worse
|
Numerator 3 · Denominator 152 |
| Discharge self-care score | 38.1% |
53.69%
15.6 pts worse
|
Numerator 40 · Denominator 105 |
| Discharge mobility score | 55.24% |
50.94%
4.3 pts better
|
Numerator 58 · Denominator 105 |
| Pressure ulcers or injuries, new or worsened | 0.66% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 152 · Adjusted rate 0.61% |
| Healthcare-associated infections requiring hospitalization | 8.86% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 94 · Observed rate 10.64% · Lower 95% interval 5.59% |
| Staff COVID-19 vaccination coverage | 4.26% |
8.2%
3.9 pts worse
|
Numerator 13 · Denominator 305 |
| Staff flu vaccination coverage | 43.7% |
42%
1.7 pts better
|
Numerator 149 · Denominator 341 |
| Discharge function score | 53.33% |
56.45%
3.1 pts worse
|
Numerator 56 · Denominator 105 |
| Transfer of health information to provider | 97.83% |
95.95%
1.9 pts better
|
Numerator 45 · Denominator 46 |
| Transfer of health information to patient | 95.16% |
96.28%
1.1 pts worse
|
Numerator 59 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 19.44% |
25.2%
5.8 pts worse
|
Numerator 14 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.1
0.3 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
97.8%
2 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| 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 | 3.9% |
2.6%
1.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.2% · Q3 3.4% · Q4 1.5% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
3.7%
2.1 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.7% · Q3 1.7% · Q4 0.8% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
5.9%
About the same
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.6% · Q3 6.2% · Q4 5.7% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
15.7%
6.1 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 10.0% · Q3 12.1% · Q4 8.4% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
9.8%
1.2 pts worse
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.4% · Q3 9.5% · Q4 13.5% · 4Q avg 11.0% · 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 | 12.1% |
11.7%
0.4 pts worse
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 16.8% · Q3 14.1% · Q4 7.7% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
9.8%
1.2 pts worse
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 17.4% · Q3 11.1% · Q4 5.4% · 4Q avg 11.0% · 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 | 15.2% |
12.5%
2.7 pts worse
|
19.8%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 25.1% · Q3 10.4% · Q4 3.9% · 4Q avg 15.2% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.1%
2.5 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.7% · Q3 3.3% · Q4 5.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
94.3%
2.9 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 98.9% · Q4 93.5% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
9.3%
2.3 pts worse
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.6% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.5%
0.5 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 2.0% · Q4 3.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 44.1% |
26.2%
17.9 pts worse
|
23.9%
20.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 44.1% · Observed 38.5% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-19 · Fire 2023-04-19
10 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-01-13 · Fire 2022-01-13
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-07-18
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-18
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-19
D · Potential for more than minimal harm
2023-04-19
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-19
F · Potential for more than minimal harm
2022-01-13
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-02-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-07-18
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 2024-08-18
E · Potential for more than minimal harm
2024-07-18
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 2024-08-18
E · Potential for more than minimal harm
2024-07-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-18
D · Potential for more than minimal harm
2024-07-18
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 2024-08-18
D · Potential for more than minimal harm
2024-07-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-08-18
F · Potential for more than minimal harm
2023-04-19
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 2023-05-19
E · Potential for more than minimal harm
2023-04-19
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 2023-05-19
E · Potential for more than minimal harm
2023-04-19
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 2023-05-19
E · Potential for more than minimal harm
2023-04-19
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 2023-05-19
E · Potential for more than minimal harm
2023-04-19
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-04-19
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-19
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-19
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-04-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-19
F · Potential for more than minimal harm
2022-01-13
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 2022-02-14
F · Potential for more than minimal harm
2022-01-13
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-02-14
E · Potential for more than minimal harm
2022-01-13
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 2022-02-14
D · Potential for more than minimal harm
2022-01-13
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 2022-02-14
D · Potential for more than minimal harm
2022-01-13
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-13
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 2022-02-14
D · Potential for more than minimal harm
2022-01-13
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-13
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-02-14
D · Potential for more than minimal harm
2022-01-13
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 2022-02-14
D · Potential for more than minimal harm
2022-01-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-14
Penalties and ownership
What sits behind the stars
Ownership
Boca Intermediate Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Fischl, Mayer
5% Or Greater Indirect Ownership Interest · Individual
Flnho Capital Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Landa, Benjamin
Corporate Officer · Individual
Palm Beach Health Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Thomas, Antonio
W-2 Managing Employee · Individual
Varghese, Mathew
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Avante At Boca Raton, Inc.
Boca Raton, FL
1-star overall rating with 1-star inspections with 20 recent health deficiencies
#2
Boca Raton Rehabilitation Center
Boca Raton, FL
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Abbey Delray South
Delray Beach, FL
4-star overall rating with 2-star inspections with $4,963 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out