You are the CEO of a large Post Acute Care Provider company, which owns the following assets in a 100-mile geographic area:

1.5 Skilled Nursing Facilities (SNF) with 100 beds each SNFs- A, B, C, D and E

2. 3 Home Health care agencies, each with an average of 200 patients each day

3. 10 Community based Adult Day Care programs

The manager of your Skilled nursing facility C (SNF-C), Tania, has set up a meeting with you because she is concerned that her patient volume is rapidly decreasing due to active competition from another SNF, SNF-X, located 1 mile from her facility. SNF-C has a Home Health Agency on site and also has an Adult Day Care program on site. It has a hospital located 5 miles from it, Hospital-H, and the discharges from this hospital seem to be steadily going down in the past 3 months to SNF-C. The competitor, SNF-X was recently built and has newer rooms and a fitness gym, a pool and a spa, none of which SNF-C has.

Metric 30 Day readmission rates back to Hospital-H for all patients Rate of Falls with injury Your SNF, SNF-C Competitor SNF-X 15% 22% 10 per 100 patients 40 per 100 patients Last governmental agency survey score 4 out of 5 Stars 2 out of 5 Stars on Nursing Home Compare Patient Satisfaction score on Nursing Home Compare 2 out of 5 Stars 5 out of 5 Stars Physicians that make visits on-site Independent clinic physicians Physicians employed by Hospital-H healthcare system Number of beds and current occupancy Total beds = 100 Currently occupied=50 Total Beds 100 Currently occupied=90