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
1/5
📊 Quality Measures
1/5
RN / Resident / Day
30 min
State avg: 44 min · US avg: 41 min
LPN hrs/day
1h 12m
CNA hrs/day
2h 27m
Total Nurse / Resident / Day
4h 9m
State avg: 3h 29m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 3 min · US avg: 4 min
RN Turnover Rate
50 per 100
State avg: 46 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
23 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
101%above avg
US avg: 64%
Total Nurse Weekend
3h 25m
Federal Penalties
8 penalties · $432,940 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/11/2025 | Fine | $22,315 | - |
| 2/3/2025 | Fine | $74,375 | - |
| 1/7/2025 | Fine | $19,115 | - |
| 12/16/2024 | Fine | $31,993 | - |
| 8/14/2024 | Fine | $12,519 |
30-Day Readmission
26.4 per 100
State avg: 26.2 · US avg: 23.9
ED Visits (no readmit)
20.9 per 100
State avg: 14.0 · US avg: 12.0
VBP Performance Score
16/100
Incentive Payment
-1.84% penalty
Risk-Std Readmission
20.4 per 100
Healthcare-Assoc. Infections
7.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
57
Avg Length of Stay
30.4 days
Avg Payment / Stay
$15,634.17
Patient Complexity
5.77 × 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)
| - |
| 12/12/2023 | Fine | $222,671 | - |
| 12/12/2023 | Payment Denial | - | 75 |
| 9/21/2023 | Fine | $49,952 | - |
| 2/3/2023 | Payment Denial | - | 31 |
| 2/3/2023 | Fine | $53,595 | - |
Inspection Citations
Survey: December 1, 2025(3 citations)
Survey: November 18, 2025(1 citation)
Survey: September 4, 2025(1 citation)
Survey: July 9, 2025(1 citation)
Survey: June 11, 2025(1 citation)
+ 17 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.9 per 100
State avg: 3.3 · US avg: 3.3
Pressure Ulcers
8.4 per 100
State avg: 5.2 · US avg: 5.1
Antipsychotic Meds
5.3 per 100
State avg: 2.3 · US avg: 1.6
Flu Vaccination
5.1 per 100
State avg: 63.0 · 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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