CMS Stars
RN hrs / day
Trust Index
Bounce-back
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
1h 15m
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
37 min
CNA hrs/day
2h 35m
Total Nurse / Resident / Day
4h 27m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
13 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 19m
RN Hours Weekend
46 min
Weekend vs. Weekday RN
59%≈ avg
US avg: 64%
Total Nurse Weekend
3h 56m
Federal Penalties
9 penalties · $121,896 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 |
30-Day Readmission
27.7 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
3.7 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
63/100
Incentive Payment
+1.80% bonus
Risk-Std Readmission
19.2 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
31
Avg Length of Stay
20.7 days
Avg Payment / Stay
$11,378.39
Patient Complexity
1.45 × 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)
| - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 2/26/2024 | Fine | $13,544 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
Inspection Citations
Survey: February 26, 2024(24 citations)
Survey: May 27, 2022(33 citations)
Falls w/ Major Injury
1.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
0.9 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
100.0 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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