Skilled Nursing Quality Rating: Staff is Key

Skilled Nursing Quality Rating

Skilled Nursing quality ratings can be a useful indicator of the overall quality of care that a SNF provides.  Reviewing each quality measure can be important. A member of my community recently complained regarding the quality of care that she received from a skilled nursing center.

So, I turned to data published by the federal government regarding the performance of Skilled Nursing Centers.  One of the Federal Agencies tasked with monitoring the quality of healthcare facilities is the U.S. Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS).  The Agency tracks and reports five-star ratings for skilled nursing facilities all over the U.S.

I sourced data that ranks the overall quality and staff quality of SNFs within a five-mile radius of zip code 92660.  I also searched for specific health deficiency and complaint data on a specific nursing home.  Here are my findings:

Skilled Nursing Facilities within a Five Mile Radius of
Zip Code 92660
Overall
Five Star Quality Rating, Name Address Network Patient Revenue Staffed Beds
Source:
U.S. Department of Health and Human Services (HHS) Centers for Medicare and
Medicaid Services (CMS) accessed June 2023.   As the data below shows, while the overall quality ranking of these facilities is all “4”4″ or “5” (where “5” is the highest), only Regents Point had a “5” ranking for its staff.The facility(ies) with the lowest staff rating have received the most complaints.
Overall
Rating
Skilled Nursing
Facility
Address City State Network Net Patient
Revenue
# of Staffed Beds Quality Rating Number of Health
Deficiencies (Cycle 1) Percentile
Number of Health
Deficiencies (Cycle 1)
Staffing Rating
4 Regents Point –
Skilled Nursing
19191 Harvard Ave Irvine CA HumanGood
(FKA the BeGroup)
$26,487,447 340 5 56 14 4
Mesa Verde Post Acute
Care Center
661 Center St Costa Mesa CA Brius
Healthcare
$9,714,392 80 5 46 29 3
3 Newport Nursing and
Rehabilitation Center
1555 Superior Ave Newport Beach CA Generations
Healthcare
$10,156,679 59 5 73 7 3
5 Newport Subacute
Healthcare Center
2570 Newport Blvd Costa Mesa CA $8,707,069 137 5 49 21 3
3 Pelican Ridge Post
Acute (FKA Flagship Healthhcare Center)
466 Flagship Rd Newport Beach CA Sun
Mar Health Care Inc
$9,920,692 167 4 56 14 3
2 Victoria Healthcare
& Rehabilitation Center
340 Victoria St Costa Mesa CA The
Ensign Group
$13,065,528 79 5 50 19 3
4 Crystal Cove Care
Center
1445 Superior Ave Newport Beach CA Providence
Administrative Consulting Services
$13,167,585 96 5 50 19 2

Michael F. Arrigo

Michael Arrigo, an expert witness, and healthcare executive, brings four decades of experience in the software, financial services, and healthcare industries. In 2000, Mr. Arrigo founded No World Borders, a healthcare data, regulations, and economics firm with clients in the pharmaceutical, medical device, hospital, surgical center, physician group, diagnostic imaging, genetic testing, health I.T., and health insurance markets. His expertise spans the federal health programs Medicare and Medicaid and private insurance. He advises Medicare Advantage Organizations that provide health insurance under Part C of the Medicare Act. Mr. Arrigo serves as an expert witness regarding medical coding and billing, fraud damages, and electronic health record software for the U.S. Department of Justice. He has valued well over $1 billion in medical billings in personal injury liens, malpractice, and insurance fraud cases. The U.S. Court of Appeals considered Mr. Arrigo's opinion regarding loss amounts, vacating, and remanding sentencing in a fraud case. Mr. Arrigo provides expertise in the Medicare Secondary Payer Act, Medicare LCDs, anti-trust litigation, medical intellectual property and trade secrets, HIPAA privacy, health care electronic claim data Standards, physician compensation, Anti-Kickback Statute, Stark law, the Affordable Care Act, False Claims Act, and the ARRA HITECH Act. Arrigo advises investors on merger and acquisition (M&A) diligence in the healthcare industry on transactions cumulatively valued at over $1 billion. Mr. Arrigo spent over ten years in Silicon Valley software firms in roles from Product Manager to CEO. He was product manager for a leading-edge database technology joint venture that became commercialized as Microsoft SQL Server, Vice President of Marketing for a software company when it grew from under $2 million in revenue to a $50 million acquisition by a company now merged into Cincom Systems, hired by private equity investors to serve as Vice President of Marketing for a secure email software company until its acquisition and multi $million investor exit by a company now merged into Axway Software S.A. (Euronext: AXW.PA), and CEO of one of the first cloud-based billing software companies, licensing its technology to Citrix Systems (NASDAQ: CTXS). Later, before entering the healthcare industry, he joined Fortune 500 company Fidelity National Financial (NYSE: FNF) as a Vice President, overseeing eCommerce solutions for the mortgage banking industry. While serving as a Vice President at Fortune 500 company First American Financial (NYSE: FAF), he oversaw eCommerce and regulatory compliance technology initiatives for the top ten mortgage banks and led the Sarbanes Oxley Act Section 302 internal controls I.T. audit for the company, supporting Section 404 of the Sarbanes Oxley Act. Mr. Arrigo earned his Bachelor of Science in Business Administration from the University of Southern California. Before that, he studied computer science, statistics, and economics at the University of California, Irvine. His post-graduate studies include biomedical ethics at Harvard Medical School, biomedical informatics at Stanford Medical School, blockchain and crypto-economics at the Massachusetts Institute of Technology, and training as a Certified Professional Medical Auditor (CPMA). Mr. Arrigo is qualified to serve as a director due to his experience in healthcare data, regulations, and economics, his leadership roles in software and financial services public companies, and his healthcare M&A diligence and public company regulatory experience. Mr. Arrigo is quoted in The Wall Street Journal, Fortune Magazine, Kaiser Health News, Consumer Affairs, National Public Radio (NPR), NBC News Houston, USA Today / Milwaukee Journal Sentinel, Medical Economics, Capitol ForumThe Daily Beast, the Lund Report, Inside Higher Ed, New England Psychologist, and other press and media outlets. He authored a peer-reviewed article regarding clinical documentation quality to support accurate medical coding, billing, and good patient care, published by Healthcare Financial Management Association (HFMA) and published in Healthcare I.T. News. Mr. Arrigo serves as a member of the board of directors of a publicly traded company in the healthcare and data analytics industry, where his duties include: member, audit committee; chair, compensation committee; member, special committee.

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