CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
4/5
📊 Quality Measures
2/5
RN / Resident / Day
45 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h 12m
CNA hrs/day
2h 53m
Total Nurse / Resident / Day
4h 50m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
37 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
27 min
RN Hours Weekend
31 min
Weekend vs. Weekday RN
113%above avg
US avg: 64%
Total Nurse Weekend
4h 31m
Federal Penalties
18 penalties · $1,512,171 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 |
30-Day Readmission
37.7 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
14.6 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
40/100
Incentive Payment
-0.75% penalty
Risk-Std Readmission
20.8 per 100
Healthcare-Assoc. Infections
6.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
40
Avg Length of Stay
26.9 days
Avg Payment / Stay
$13,716.17
Patient Complexity
2.47 × 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)
| - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 3/26/2025 | Fine | $114,563 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
| 2/16/2024 | Fine | $53,456 | - |
Inspection Citations
Survey: March 26, 2025(60 citations)
Survey: February 16, 2024(42 citations)
Survey: January 9, 2023(51 citations)
Falls w/ Major Injury
2.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.5 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
3.8 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
58.3 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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