SNF

UPMC MAGEE-WOMENS HOSPITAL TCU

CCN: 396098 · PITTSBURGH, PA 15213 · Allegheny County

ℹ Hospital-based

Overview

Address
300 HALKET STREET, PITTSBURGH, PA 15213
Phone
4126413318
Certified beds
20
Avg daily residents
20 (99% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare
Medicare/Medicaid since
2005-09-16
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures — Data not available.
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 5.36 3.59 5.77 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 2.59 0.63 2.78 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.11 0.80 1.19 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.67 2.17 1.79 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 3.70 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.43 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
5.13
hrs / resident / day
RN (weekend)
1.88
hrs / resident / day
Total nurse (adjusted, weekend)
5.52
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
24.0%
annual
RN turnover
16.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.27
higher acuity than avg
Case-Mix Index Ratio
0.92
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-11-25 5 5 0 20 1 20
Cycle 2/3 (prior) 2024-12-20 5 5 0 24 1 24
Total weighted health score
21.0
lower is better

Deficiencies (10)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
9 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-11-25 2026-01-12
0693 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. D 2025-11-25 2026-01-12
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-11-25 2026-01-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. C 2025-11-25 2026-01-12
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2025-11-25 2026-01-12
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-12-20 2025-01-28
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2024-12-20 2025-01-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-12-20 2025-01-28
0761 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. D 2024-12-20 2025-01-28
0880 Provide and implement an infection prevention and control program. E 2024-12-20 2025-01-28

Ownership & Corporate Structure

Chain: UPMC SENIOR COMMUNITIES

Chain ID
537
Facilities in chain
8
Legal business name
UPMC MAGEE-WOMENS HOSPITAL
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.5
Staffing
3.9
QM
4.0

Owner / manager organizations (2)

Organization Role Association
UPMC MAGEE-WOMENS HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2005
UPMC OPERATIONAL/MANAGERIAL CONTROL since 04/01/1999

Owner / manager individuals (25)

Name Role Association
COUPS, ALEXIS OPERATIONAL/MANAGERIAL CONTROL since 01/18/2021
ALOE, MARK CORPORATE DIRECTOR since 07/01/2008
AMBROSE, DONETTA CORPORATE DIRECTOR since 07/01/2008
ATKINS, MICHELE CORPORATE DIRECTOR since 07/01/2008
BAJEUX BESNAINOU, ISABELLE CORPORATE DIRECTOR since 10/10/2022
BARBARITA, DEBRA CORPORATE DIRECTOR since 04/05/2011
CONTI, TRACEY CORPORATE DIRECTOR since 03/09/2022
DONNELLAN, NICOLE CORPORATE DIRECTOR since 07/01/2022
ENGLISH, DENNIS CORPORATE DIRECTOR since 07/20/2015
GOSMAN, GABRIELLA CORPORATE DIRECTOR since 01/01/2019
GRAY, KELLY CORPORATE DIRECTOR since 07/01/2022
JOY, MARGARET CORPORATE DIRECTOR since 07/01/2008
LESNOCK, JAMIE CORPORATE DIRECTOR since 07/01/2024
MAYLE-TOWNS, KATHY CORPORATE DIRECTOR since 07/01/2008
MEEHAN, SARAH CORPORATE DIRECTOR since 02/18/2015
PIETRAGALLO, WILLIAM CORPORATE DIRECTOR since 07/01/2008
SHEKHAR, ANANTHA CORPORATE DIRECTOR since 07/13/2020
SWEENEY, MICHAEL CORPORATE DIRECTOR since 02/18/2015
ALMON-MARTIN, ROSE CORPORATE OFFICER since 07/01/2008
BEIGI, RICHARD CORPORATE OFFICER since 07/01/2012
DAVIS, LESLIE CORPORATE OFFICER since 07/01/2005
EDWARDS, ROBERT CORPORATE OFFICER since 01/01/2015
EISENBRANDT, PETER CORPORATE OFFICER since 07/01/2008
JOHNSON, RONALD CORPORATE OFFICER since 01/01/2005
PETRIE, JONATHAN CORPORATE OFFICER since 07/10/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
Yes
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.19478 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.79084 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 2.78008 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.76570 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.51654 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 19.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.79720 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.16661 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62837 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.59218 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.16613 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.9 Chain Average Staffing Rating
Provider Information Chain ID 537 Chain ID
Provider Information Chain Name UPMC SENIOR COMMUNITIES Chain Name
Provider Information City/Town PITTSBURGH City/Town
Provider Information CMS Certification Number (CCN) 396098 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Allegheny County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2005-09-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.4377 Latitude
Provider Information Legal Business Name UPMC MAGEE-WOMENS HOSPITAL Legal Business Name
Provider Information Location 300 HALKET STREET,PITTSBURGH,PA,15213 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -79.96 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 20 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 8 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.27255 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.92371 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 300 HALKET STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name UPMC MAGEE-WOMENS HOSPITAL TCU Provider Name
Provider Information Provider Resides in Hospital Y Provider Resides in Hospital
Provider Information Provider SSA County Code 010 Provider SSA County Code
Provider Information Provider Type Medicare Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 20 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-11-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 20 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 5 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-12-20 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 24 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 24 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 5 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 1.87699 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 16.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 3.69819 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.11162 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.66618 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.42533 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 2.58657 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.36437 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State PA State
Provider Information Telephone Number 4126413318 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 5.13255 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 24.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 21.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 15213 ZIP Code