Measure	Rate	State Avg.	National Avg.
Percentage of patients whose activities of daily living and thinking skills are assessed and related goals were included in their treatment plan	100%	Not Applicable	98.8%
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan	100%	Not Applicable	98.3%
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay	Not Applicable	Not Applicable	0.1%
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified	90.2%	Not Applicable	94%
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened	1.4%	Not Applicable	Not Applicable

Measure	Rate	State Avg.	National Avg.
Influenza vaccination coverage among healthcare personnel	100%	Not Applicable	71.5%
Percentage of LTCH healthcare personnel who completed COVID-19 primary vaccination series	89.1%	Not Applicable	88.8%

Measure	Stars
Doctor Communication	Not Applicable
Overall Satisfaction Rating	Not Applicable
Patients Recommend	Not Applicable
Provided Discharge Instructions	Not Applicable
Quiet at Night	Not Applicable
Room Cleanliness	Not Applicable
Staff Explained Medicine	Not Applicable
Nurse Communication	Not Applicable
Staff Responsiveness	Not Applicable
Care Transition	Not Applicable
Summary Star Rating	Not Applicable