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The rules indicated that a high pneumonia readmission, a low cleanliness star rating, and a low medication communication star rating were associated with a high readmission rate for heart failure. The rules provided strong associations between HCAHPS star ratings and determining a high readmission rate for HF. It was interesting to find that pneumonia readmissions exist as well with a high HF readmission. Hospitals should work on improving their star ratings for the HCAHPS domains identified and work on lowering pneumonia readmissions to l