CMS Stars
RN hrs / day
Trust Index
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
2h 15m
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
48 min
CNA hrs/day
3h 11m
Total Nurse / Resident / Day
6h 13m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
55 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
3h 34m
RN Hours Weekend
2h 38m
Weekend vs. Weekday RN
74%above avg
US avg: 64%
Total Nurse Weekend
8h 42m
Federal Penalties
9 penalties · $286,533 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 |
30-Day Readmission
N/A
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 11.2 · US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
66/100
Incentive Payment
+1.98% bonus
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
N/A
Avg Length of Stay
N/A
Avg Payment / Stay
N/A
Patient Complexity
N/A
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
| 3/6/2025 | Fine | $31,837 | - |
Inspection Citations
Survey: March 6, 2025(15 citations)
Survey: April 25, 2024(9 citations)
Survey: April 25, 2023(18 citations)
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.6 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
N/A
State avg: 0.9 · US avg: 1.6
Flu Vaccination
N/A
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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