CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
4/5
📊 Quality Measures
4/5
RN / Resident / Day
1h 9m
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
33 min
CNA hrs/day
2h 13m
Total Nurse / Resident / Day
3h 54m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
29 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 4m
RN Hours Weekend
44 min
Weekend vs. Weekday RN
69%≈ avg
US avg: 64%
Total Nurse Weekend
3h 27m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: June 13, 2025(3 citations)
30-Day Readmission
17.8 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
11.6 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
59/100
Incentive Payment
+1.39% bonus
Risk-Std Readmission
17.8 per 100
Healthcare-Assoc. Infections
6.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
168
Avg Length of Stay
22.5 days
Avg Payment / Stay
$10,868.53
Patient Complexity
2.87 × 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: July 2, 2024(18 citations)
Survey: July 20, 2023(3 citations)
Survey: May 10, 2023(24 citations)
Falls w/ Major Injury
1.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
9.5 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
0.8 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
92.8 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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