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
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
22 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 4m
CNA hrs/day
2h 16m
Total Nurse / Resident / Day
3h 41m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
53 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
47 min
RN Hours Weekend
16 min
Weekend vs. Weekday RN
33%well below avg
US avg: 64%
Total Nurse Weekend
4h 22m
Federal Penalties
9 penalties · $439,425 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 |
30-Day Readmission
23.8 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
10.7 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
19/100
Incentive Payment
-1.80% penalty
Risk-Std Readmission
19.9 per 100
Healthcare-Assoc. Infections
10.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
166
Avg Length of Stay
37.8 days
Avg Payment / Stay
$21,877
Patient Complexity
2.61 × 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)
| - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
| 2/3/2025 | Fine | $48,825 | - |
Inspection Citations
Survey: February 3, 2025(39 citations)
Survey: December 19, 2023(3 citations)
Falls w/ Major Injury
1.7 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
4.1 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.5 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
97.7 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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