CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
53 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h
CNA hrs/day
2h 30m
Total Nurse / Resident / Day
4h 23m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
40 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
49 min
RN Hours Weekend
39 min
Weekend vs. Weekday RN
79%above avg
US avg: 64%
Total Nurse Weekend
3h 21m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: November 22, 2024(16 citations)
30-Day Readmission
17.6 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
7.9 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
41/100
Incentive Payment
-0.65% penalty
Risk-Std Readmission
19.9 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
103
Avg Length of Stay
27.2 days
Avg Payment / Stay
$14,583.48
Patient Complexity
2.38 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Survey: October 12, 2023(12 citations)
Falls w/ Major Injury
4.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.7 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
1.8 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
84.6 per 100
State avg: 83.1 · US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
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