CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
โญ Overall
2/5
๐ Health Inspection
2/5
๐ฉโโ๏ธ Staffing
4/5
๐ Quality Measures
4/5
RN / Resident / Day
1h 13m
State avg: 41 min ยท US avg: 41 min
LPN hrs/day
56 min
CNA hrs/day
2h 7m
Total Nurse / Resident / Day
4h 15m
State avg: 3h 51m ยท US avg: 3h 53m
PT / Resident / Day
13 min
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
32 per 100
State avg: 41 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 31m
RN Hours Weekend
57 min
Weekend vs. Weekday RN
62%โ avg
US avg: 64%
Total Nurse Weekend
4h 45m
Federal Penalties
No federal penalties in the past 3 years.
โ No penalty records on file
Inspection Citations
Survey: December 19, 2024(42 citations)
30-Day Readmission
21.8 per 100
State avg: 25.4 ยท US avg: 23.9
ED Visits (no readmit)
5.4 per 100
State avg: 8.2 ยท US avg: 12.0
VBP Performance Score
28/100
Incentive Payment
-1.51% penalty
Risk-Std Readmission
19.7 per 100
Healthcare-Assoc. Infections
10.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
297
Avg Length of Stay
31.8 days
Avg Payment / Stay
$23,922.57
Patient Complexity
2.82 ร avg
Avg LOS 15-30 days is typical for short-term rehab ยท Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Survey: July 18, 2023(24 citations)
Falls w/ Major Injury
2.5 per 100
State avg: 2.4 ยท US avg: 3.3
Pressure Ulcers
6.6 per 100
State avg: 6.0 ยท US avg: 5.1
Antipsychotic Meds
2.4 per 100
State avg: 1.2 ยท US avg: 1.6
Flu Vaccination
83.5 per 100
State avg: 80.1 ยท US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
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