UPMC Health · Post-Acute Network Analysis

Priority Intervention Targets · System-Wide

Top 15 SNF Partners by Hospitalization Leverage 748 FFS patients across priority targets

1SPRING CREEK REHABILITATION AND NURSING CENTER117 pts · 48.5% FSHR 2JAMC OPCO LLC77 pts · 50.7% FSHR · 3H 3LUTHERAN HOME AT KANE PENNSYLVANIA34 pts · 66.7% FSHR · 2H 4HANOVER HALL FOR NURSING AND REHABILITATION52 pts · 52.1% FSHR 5MIDTOWN OAKS HEALTH & REHAB CENTER, LLC29 pts · 68.2% FSHR 6PRESBYTERIAN HOME OF HOLLIDAYSBURG45 pts · 52.9% FSHR 7HERITAGE PARK REHAB & SKILLED NURSING107 pts · 39.1% FSHR · 2H 8NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER28 pts · 60.0% FSHR 9ERIE SNF OPERATIONS LLC49 pts · 47.4% FSHR 10BROAD ACRES HEALTH & REHABILITATION CENTER42 pts · 50.0% FSHR 11VALLEY VIEW HEALTH AND REHABILITATION CENTER57 pts · 43.8% FSHR 12WASHINGTON OPERATING LLC36 pts · 50.6% FSHR 13GOLDEN HILL NURSING AND REHAB LP23 pts · 61.0% FSHR 14CAPITAL HEALTH & REHAB CENTER, LLC32 pts · 51.4% FSHR 15EDISON MANOR NURSING AND REHABILITATION20 pts · 63.0% FSHR

Priority score combines FSHR magnitude, patient volume, and multi-hospital presence. FSHR = Facility Hospitalization Rate from CMS Medicare FFS Claims. System FSHR benchmark: 31.4%. Data period: Q4 2024 – Q3 2025. Full report → Download Excel →

Key Findings

Meaningful FSHR Variation Across the UPMC Network: 13.3% to 66.7%

The system-wide weighted average FSHR is 31.4%, but individual hospital performance ranges from 13.3% (UPMC Western Maryland) to 66.7% (UPMC Kane). This 53.4 percentage point spread represents significant, actionable variation in post-acute network performance that is not yet fully visible within UPMC's current care management infrastructure.

15 SNF Partners Account for Concentrated Hospitalization Risk

15 priority target SNFs serve 748 patients system-wide with above-average FSHR rates. The top target, Spring Creek Rehabilitation And Nursing Center, carries a 48.5% FSHR — 17.1 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for UPMC's post-acute network management program.

25 Cross-System SNFs Create System-Level Engagement Opportunities

25 SNFs receive patients from 2 or more UPMC hospitals, creating system-level leverage for preferred network conversations. The highest-volume cross-system SNF, Vincentian Home, serves 142 patients across 3 hospitals. Coordinated engagement at these facilities allows UPMC to move network-wide performance with a single partnership conversation.

Limited Visibility Across 25 Hospitals: 174 Destinations, Partial FSHR Ratings

UPMC's 25 active hospitals collectively discharge to 174 distinct SNF destinations. Many SNF relationships lack facility-level FSHR data due to CMS suppression thresholds for small-volume relationships. This limited visibility constrains UPMC's ability to systematically identify underperforming partners and build a high-performing preferred post-acute network. Structured SNF engagement and preferred network designation would create the monitoring infrastructure needed to close this gap.

3 Hospitals Below CMS Reporting Thresholds — Data Gap to Address

UPMC Passavant – Cranberry, UPMC Greene, and UPMC Muncy fall below CMS Medicare FFS claims volume thresholds for this reporting period. These facilities have no FSHR-rated SNF relationships in the data. As UPMC's post-acute network management program matures, ensuring these sites are included in preferred network initiatives and tracked through internal data will be critical to comprehensive system performance management.

Hospital Portfolio · 25 Active Entities

UPMC Kane

Kane, PA · 31 beds · Western/Northern PA

System FSHR 66.7%

SNF Patients 22

Rated SNF Destinations 1 of 11

FSHR vs. System +35.2pp

UPMC Jameson

New Castle, PA · 133 beds · Western/Northern PA

System FSHR 54.3%

SNF Patients 302

Rated SNF Destinations 10 of 30

FSHR vs. System +22.9pp

UPMC Wellsboro

Wellsboro, PA · 25 beds · Northern Tier PA

System FSHR 44.0%

SNF Patients 72

Rated SNF Destinations 2 of 10

FSHR vs. System +12.6pp

UPMC Altoona

Altoona, PA · 380 beds · Western/Northern PA

System FSHR 42.6%

SNF Patients 283

Rated SNF Destinations 9 of 30

FSHR vs. System +11.2pp

UPMC Northwest

Seneca, PA · 171 beds · Western/Northern PA

System FSHR 38.0%

SNF Patients 292

Rated SNF Destinations 8 of 30

FSHR vs. System +6.5pp

UPMC Harrisburg

Harrisburg, PA · 704 beds · Central/Eastern PA

System FSHR 36.2%

SNF Patients 587

Rated SNF Destinations 17 of 30

FSHR vs. System +4.8pp

UPMC Hamot

Erie, PA · 412 beds · Western/Northern PA

System FSHR 36.1%

SNF Patients 462

Rated SNF Destinations 22 of 30

FSHR vs. System +4.7pp

UPMC East

Monroeville, PA · 156 beds · Pittsburgh Metro

System FSHR 35.1%

SNF Patients 163

Rated SNF Destinations 8 of 25

FSHR vs. System +3.6pp

UPMC Washington

Washington, PA · 244 beds · Western/Northern PA

System FSHR 33.3%

SNF Patients 292

Rated SNF Destinations 9 of 30

FSHR vs. System +1.9pp

UPMC Passavant – McCandless

McCandless, PA · 394 beds · Pittsburgh Metro

System FSHR 33.1%

SNF Patients 357

Rated SNF Destinations 11 of 25

FSHR vs. System +1.7pp

UPMC Williamsport

Williamsport, PA · 224 beds · Northern Tier PA

System FSHR 33.0%

SNF Patients 253

Rated SNF Destinations 9 of 25

FSHR vs. System +1.5pp

UPMC Hanover

Hanover, PA · 93 beds · Central/Eastern PA

System FSHR 33.0%

SNF Patients 285

Rated SNF Destinations 9 of 30

FSHR vs. System +1.5pp

UPMC Presbyterian Shadyside

Pittsburgh, PA · 1420 beds · Pittsburgh Metro

System FSHR 32.9%

SNF Patients 431

Rated SNF Destinations 20 of 21

FSHR vs. System +1.4pp

UPMC Carlisle

Carlisle, PA · 165 beds · Central/Eastern PA

System FSHR 32.3%

SNF Patients 378

Rated SNF Destinations 11 of 30

FSHR vs. System +0.8pp

UPMC McKeesport

McKeesport, PA · 213 beds · Pittsburgh Metro

System FSHR 31.9%

SNF Patients 28

Rated SNF Destinations 1 of 25

FSHR vs. System +0.4pp

UPMC Mercy

Pittsburgh, PA · 404 beds · Pittsburgh Metro

System FSHR 30.9%

SNF Patients 121

Rated SNF Destinations 7 of 25

FSHR vs. System -0.5pp

UPMC Somerset

Somerset, PA · 99 beds · Western/Northern PA

System FSHR 30.5%

SNF Patients 51

Rated SNF Destinations 2 of 21

FSHR vs. System -1.0pp

UPMC Magee-Womens Hospital

Pittsburgh, PA · 335 beds · Pittsburgh Metro

System FSHR 30.3%

SNF Patients 30

Rated SNF Destinations 1 of 25

FSHR vs. System -1.1pp

UPMC Bedford

Everett, PA · 40 beds · Western/Northern PA

System FSHR 29.6%

SNF Patients 44

Rated SNF Destinations 3 of 11

FSHR vs. System -1.8pp

UPMC Memorial

York, PA · 98 beds · Central/Eastern PA

System FSHR 27.5%

SNF Patients 152

Rated SNF Destinations 6 of 30

FSHR vs. System -3.9pp

UPMC St. Margaret

Pittsburgh, PA · 250 beds · Pittsburgh Metro

System FSHR 27.5%

SNF Patients 158

Rated SNF Destinations 6 of 25

FSHR vs. System -4.0pp

UPMC Chautauqua

Jamestown, NY · 199 beds · New York

System FSHR 27.4%

SNF Patients 201

Rated SNF Destinations 5 of 25

FSHR vs. System -4.0pp

UPMC Horizon – Greenville

Greenville, PA · 228 beds · Western/Northern PA

System FSHR 26.5%

SNF Patients 203

Rated SNF Destinations 10 of 30

FSHR vs. System -5.0pp

UPMC Lititz

Lititz, PA · 55 beds · Central/Eastern PA

System FSHR 25.2%

SNF Patients 111

Rated SNF Destinations 6 of 30

FSHR vs. System -6.3pp

UPMC Western Maryland

Cumberland, MD · 213 beds · Maryland

System FSHR 13.3%

SNF Patients 720

Rated SNF Destinations 11 of 25

FSHR vs. System -18.2pp

Below CMS Reporting Threshold — No Data Available

UPMC Passavant – CranberryCranberry Township, PA · Pittsburgh MetroInsufficient FFS claim volume for this period

UPMC GreeneWaynesburg, PA · Western/Northern PAInsufficient FFS claim volume for this period

UPMC MuncyMuncy, PA · Northern Tier PAInsufficient FFS claim volume for this period

Risk Distribution · Facility Hospitalization Risk

Patient Risk Mix

Distribution across risk categories (CMS Medicare FFS Claims)

Very Low 4%

Low 18%

Medium 62%

High 15%

Very High 2%

Facility Risk Mix

SNF-level facility risk across rated relationships

Very Low 0%

Low 1%

Medium 19%

High 30%

Very High 23%

Not Rated 27%

Recommendations

Launch Priority Engagement with Spring Creek Rehabilitation And Nursing Center and Jamc Opco Llc

These two facilities carry the highest FSHR rates in the UPMC network and serve patients from multiple UPMC hospitals. An immediate clinical liaison visit, aligned with a preferred network conversation, is the fastest path to FSHR reduction at scale. Target: achieve preferred network designation within 90 days of initial contact, with quarterly FSHR review milestones.

Build a UPMC Preferred Post-Acute Network Around the 25 Cross-System SNFs

The 25 SNFs that serve patients from 2+ UPMC hospitals are the foundation of a scalable preferred network. A single engagement at Vincentian Home (142 patients, 3 hospitals) moves multiple hospital FSHRs simultaneously. Establish shared performance expectations, quarterly scorecards, and a preferred status designation for facilities meeting UPMC's quality criteria.

Prioritize UPMC Jameson, UPMC Kane, and UPMC Altoona for Immediate Network Rationalization

These three hospitals show the highest system FSHRs (66.7%, 42.6%, and 54.3% respectively). A structured preferred network review — identifying which SNF destinations carry elevated FSHR and funneling volume toward lower-risk partners — will have the highest near-term impact on system-wide performance.

Implement FSHR-Based SNF Scorecards Across All 25 Active Hospitals

UPMC currently has 174 SNF destination relationships with uneven FSHR visibility. Quarterly SNF scorecards — anchored to FSHR, volume share, and facility risk — would give care coordinators and discharge planners a consistent performance signal for every post-acute partner. Puzzle Healthcare's preferred network platform can automate scorecard generation and alert teams to FSHR changes in real time.

Address Data Gaps at UPMC Passavant – Cranberry, UPMC Greene, and UPMC Muncy

Three UPMC hospitals fall below CMS Medicare FFS reporting thresholds for this period. Supplement federal claims data with internal utilization data to develop SNF performance profiles for these sites. As UPMC's Medicare FFS volume at these campuses grows, they should be integrated into the preferred network program from the outset to avoid the reactive engagement cycles seen at higher-volume hospitals.

Hospital Drill-Down · 25 Active Entities

Cross-System SNF Analysis · 25 Multi-Hospital SNFs

SNFs Serving 2+ UPMC Hospitals

These 25 facilities represent system-level preferred network opportunities. A single engagement at any of these SNFs moves FSHR for multiple UPMC hospitals simultaneously. Sorted by total patient volume descending.

SNF Facility	Parent Organization	# UPMC Hospitals	Total Patients	Wtd FSHR
VINCENTIAN HOME	VINCENTIAN COLLABORATIVE SYSTEM	3 hospitals	142	31.4%
CONCORDIA AT REBECCA RESIDENCE	CONCORDIA CARE NETWORK	4 hospitals	115	31.6%
HERITAGE PARK REHAB & SKILLED NURSING	GERRY HOMES	2 hospitals	107	39.1%
HERITAGE GREEN REHAB & SKILLED NURSING	HERITAGE MINISTRIES CHARITABLE CARE NETWORK	2 hospitals	90	32.0%
THE WILLOWS OF PRESBYTERIAN MEDICAL CENTER	PRESBYTERIAN SENIORCARE	2 hospitals	79	21.5%
JAMC OPCO LLC	EMSIR	3 hospitals	77	50.7%
HARMONY PHYSICAL REHABILITATION	CONCORDIA CARE NETWORK	2 hospitals	70	21.5%
CLAREMONT NURSING & REHABILITATION CENTER LLC	—	2 hospitals	65	28.4%
HOMEWOOD LIVING MARTINSBURG, INC.	—	2 hospitals	62	24.8%
EAST END HEALTH & REHAB CENTER, LLC	WIW DYNASTY	2 hospitals	59	25.6%
UPMC MAGEE-WOMENS HOSPITAL	UPMC	2 hospitals	59	36.6%
CONCORDIA AT THE CEDARS	CONCORDIA LUTHERAN MINISTRIES OF PITTSBURGH	2 hospitals	51	34.9%
YORK NORTH SKILLED NURSING AND REHABILITATION CENTER	GENESIS HEALTHCARE	2 hospitals	51	29.3%
FP 700 OPERATIONS LLC	PA 3 OPCO	2 hospitals	49	43.0%
SENECA PLACE	OAKDALE SENIORS ALLIANCE	3 hospitals	47	—
WARREN MANOR	JOANN C UNVERFERTH 12 29 04 REVOCABLE TRUST	2 hospitals	39	24.3%
CONCORDIA LUTHERAN MINISTRIES OF PITTSBURGH	CONCORDIA CARE NETWORK	2 hospitals	38	26.9%
LUTHERAN HOME AT KANE PENNSYLVANIA	—	2 hospitals	34	66.7%
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE	CONCORDIA CARE NETWORK	2 hospitals	31	41.7%
SHENANGO PRESBYTERIAN SENIORCARE	PRESBYTERIAN SENIORCARE	2 hospitals	31	47.1%
THE GROVE AT GREENVILLE	LME FAMILY HOLDINGS	2 hospitals	31	20.0%
TRANSITIONS HEALTHCARE NORTH HUNTINGDON	TRANSITIONS HEALTHCARE	2 hospitals	30	—
CHURCH OF GOD HOME INC	STONERIDGE RETIREMENT LIVING COMMUNITIES	2 hospitals	29	23.9%
THE REHABILITATION & NURSING CENTER AT GREATER PITTSBURGH	HEALTHBRIDGE MANAGEMENT	2 hospitals	27	52.5%
PENNKNOLL VILLAGE	CONSULATE MANAGEMENT COMPANY III	2 hospitals	25	29.1%

FSHR = Facility Hospitalization Rate from CMS Medicare FFS Claims. Weighted FSHR calculated across all UPMC hospital relationships for each SNF. System FSHR benchmark: 31.4%. Color coding: red = FSHR ≥36.5% (+5pp above system); amber = ≥33.5% (+2pp); green = ≤28.4% (−3pp).

Priority Intervention Targets · Top 15 System-Wide

Priority SNF Engagement Targets

Ranked by priority score combining FSHR above system average, total patient volume, and multi-hospital presence. FSHR threshold for inclusion: significantly above system average (31.4%). These 15 facilities represent the highest-leverage opportunities for UPMC's post-acute network engagement program.

Rank	SNF Facility	Hospital(s)	Patients	FSHR	Est. Prev. Admits	Hospitals
1	SPRING CREEK REHABILITATION AND NURSING CENTER	UPMC Pinnacle (Harrisburg)	117	48.5%	56	1H
2	JAMC OPCO LLC	UPMC Presbyterian Shadyside (incl. Montefiore); UPMC Jameson; UPMC Horizon (Greenville / Shenango Valley)	77	50.7%	39	3H
3	LUTHERAN HOME AT KANE PENNSYLVANIA	UPMC Hamot; UPMC Kane	34	66.7%	22	2H
4	HANOVER HALL FOR NURSING AND REHABILITATION	UPMC Hanover	52	52.1%	27	1H
5	MIDTOWN OAKS HEALTH & REHAB CENTER, LLC	UPMC Altoona	29	68.2%	19	1H
6	PRESBYTERIAN HOME OF HOLLIDAYSBURG	UPMC Altoona	45	52.9%	23	1H
7	HERITAGE PARK REHAB & SKILLED NURSING	UPMC Hamot; UPMC Chautauqua	107	39.1%	41	2H
8	NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER	UPMC Passavant – McCandless	28	60.0%	16	1H
9	ERIE SNF OPERATIONS LLC	UPMC Hamot	49	47.4%	23	1H
10	BROAD ACRES HEALTH & REHABILITATION CENTER	UPMC Wellsboro	42	50.0%	21	1H
11	VALLEY VIEW HEALTH AND REHABILITATION CENTER	UPMC Altoona	57	43.8%	24	1H
12	WASHINGTON OPERATING LLC	UPMC Washington	36	50.6%	18	1H
13	GOLDEN HILL NURSING AND REHAB LP	UPMC Jameson	23	61.0%	14	1H
14	CAPITAL HEALTH & REHAB CENTER, LLC	UPMC Pinnacle (Harrisburg)	32	51.4%	16	1H
15	EDISON MANOR NURSING AND REHABILITATION	UPMC Jameson	20	63.0%	12	1H

#1. SPRING CREEK REHABILITATION AND NURSING CENTER

117 patients 48.5% FSHR 1 hospital(s)

#2. JAMC OPCO LLC

77 patients 50.7% FSHR 3 hospital(s)

#3. LUTHERAN HOME AT KANE PENNSYLVANIA

34 patients 66.7% FSHR 2 hospital(s)

#4. HANOVER HALL FOR NURSING AND REHABILITATION

52 patients 52.1% FSHR 1 hospital(s)

#5. MIDTOWN OAKS HEALTH & REHAB CENTER, LLC

29 patients 68.2% FSHR 1 hospital(s)

#6. PRESBYTERIAN HOME OF HOLLIDAYSBURG

45 patients 52.9% FSHR 1 hospital(s)

#7. HERITAGE PARK REHAB & SKILLED NURSING

107 patients 39.1% FSHR 2 hospital(s)

#8. NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER

28 patients 60.0% FSHR 1 hospital(s)

#9. ERIE SNF OPERATIONS LLC

49 patients 47.4% FSHR 1 hospital(s)

#10. BROAD ACRES HEALTH & REHABILITATION CENTER

42 patients 50.0% FSHR 1 hospital(s)

#11. VALLEY VIEW HEALTH AND REHABILITATION CENTER

57 patients 43.8% FSHR 1 hospital(s)

#12. WASHINGTON OPERATING LLC

36 patients 50.6% FSHR 1 hospital(s)

#13. GOLDEN HILL NURSING AND REHAB LP

23 patients 61.0% FSHR 1 hospital(s)

#14. CAPITAL HEALTH & REHAB CENTER, LLC

32 patients 51.4% FSHR 1 hospital(s)

#15. EDISON MANOR NURSING AND REHABILITATION

20 patients 63.0% FSHR 1 hospital(s)

Priority score = composite of FSHR excess above system (31.4%), patient volume, and multi-hospital appearance count. Est. Preventable Admits = patients × FSHR. Data: CMS Medicare FFS Claims, Q4 2024 – Q3 2025. Download full Excel workbook →

Methodology

Data Source

All post-acute performance data in this report is derived from CMS Medicare Fee-for-Service (FFS) Claims. This is the same claims data used in CMS star ratings, value-based purchasing programs, and public quality reporting. Data reflects discharges from UPMC Health hospitals to skilled nursing facilities during the period Q4 2024 – Q3 2025.

Facility Hospitalization Rate (FSHR)

FSHR (Facility Hospitalization Rate) measures the percentage of SNF patient-days that result in an acute hospital readmission, calculated at the SNF-hospital relationship level. Unlike simple 30-day readmission rates, FSHR captures rehospitalization across the full SNF stay, providing a more comprehensive view of post-acute performance. The UPMC system-wide weighted average FSHR is 31.4% for Q4 2024 – Q3 2025.

Priority Score Methodology

Priority scores combine three factors: (1) FSHR magnitude above the system average, (2) total patient volume at the facility, and (3) multi-hospital presence within the UPMC system. SNFs appearing at 2+ hospitals receive a multiplier reflecting their system-wide engagement leverage. Scores are relative within the UPMC Health system.

CMS Suppression & Data Availability

CMS suppresses FSHR values for SNF-hospital relationships with fewer than 11 patients in the measurement period. Of UPMC's 174 unique SNF destinations, only those with sufficient volume have FSHR data. Additionally, 3 UPMC hospitals (Passavant – Cranberry, Greene, Muncy) fall below CMS thresholds for hospital-level reporting and are excluded from quantitative analysis. "Suppressed" SNF destinations are counted but not rated in this analysis.

FSHR Color Coding

Throughout this portal, FSHR values are color-coded relative to the UPMC system average (31.4%): Red = ≥36.5% (5+ pp above system); Amber = ≥33.5% (2+ pp above); Green = ≤28.4% (3+ pp below). Uncolored values are within ±2–3 pp of system average.

Prepared By

This analysis was prepared by Puzzle Healthcare using CMS Medicare FFS Claims data. For questions about methodology, data access, or the preferred network engagement program, contact your Puzzle Healthcare account team. Download Excel workbook →

Post-Acute NetworkAnalysis

Post-Acute Network
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