Pheasant Ridge Nursing And Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Roanoke, Virginia, the facility meets baseline standards across most quality metrics.
Staffing at Pheasant Ridge Nursing And Rehabilitation is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 25 deficiencies at Pheasant Ridge Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.44 | 3.8 | Average |
| Registered Nurses (RN) | 0.71 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.92 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.81 | 2.4 | Below Average |
| Weekend Total Nursing | 3.04 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 20, 2024 · Quality of Life and Care Deficiencies
- Tag 0711 Severity EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Nov 20, 2024 · Nursing and Physician Services Deficiencies
- Tag 0573 Severity DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.Nov 20, 2024 · Resident Rights Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Nov 20, 2024 · Resident Rights Deficiencies
- Tag 0635 Severity DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.Nov 20, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.5% | 4.5% | Worse |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 20.4% | 14.5% | Worse |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 16.8% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 21.4% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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