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
34 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
58 min
CNA hrs/day
2h 43m
Total Nurse / Resident / Day
4h 14m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
30 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
22 min
RN Hours Weekend
16 min
Weekend vs. Weekday RN
75%above avg
US avg: 64%
Total Nurse Weekend
3h 33m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 |
30-Day Readmission
16.1 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
9.9 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
51/100
Incentive Payment
+0.47% bonus
Risk-Std Readmission
18.6 per 100
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
139
Avg Length of Stay
32.9 days
Avg Payment / Stay
$17,680.15
Patient Complexity
2.73 × 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)
| - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
| 7/7/2023 | Fine | $5,160 | - |
Inspection Citations
Survey: October 31, 2025(9 citations)
Survey: August 14, 2025(12 citations)
Survey: April 9, 2024(9 citations)
Survey: July 7, 2023(3 citations)
Survey: January 13, 2023(3 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.7 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
4.6 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
3.8 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
70.4 per 100
State avg: 80.1 · 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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