CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
1h 11m
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 48m
CNA hrs/day
2h 40m
Total Nurse / Resident / Day
5h 39m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
9 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
59 min
RN Hours Weekend
37 min
Weekend vs. Weekday RN
63%≈ avg
US avg: 64%
Total Nurse Weekend
5h 32m
Federal Penalties
9 penalties · $777,699 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 |
30-Day Readmission
34.3 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
13.7 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
65/100
Incentive Payment
+1.94% bonus
Risk-Std Readmission
20.0 per 100
Healthcare-Assoc. Infections
5.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
270
Avg Length of Stay
23.0 days
Avg Payment / Stay
$12,177.2
Patient Complexity
2.15 × 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)
| - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
| 10/15/2024 | Fine | $86,411 | - |
Inspection Citations
Survey: March 28, 2025(18 citations)
Survey: October 15, 2024(9 citations)
Survey: June 30, 2023(9 citations)
Falls w/ Major Injury
2.9 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
8.5 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
1.0 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
34.8 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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