CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
16 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
53 min
CNA hrs/day
2h 14m
Total Nurse / Resident / Day
3h 24m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
68 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
35 min
RN Hours Weekend
17 min
Weekend vs. Weekday RN
48%below avg
US avg: 64%
Total Nurse Weekend
6h 36m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: August 18, 2025(15 citations)
30-Day Readmission
25.4 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
5.3 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
44/100
Incentive Payment
-0.32% penalty
Risk-Std Readmission
19.4 per 100
Healthcare-Assoc. Infections
5.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
142
Avg Length of Stay
29.5 days
Avg Payment / Stay
$15,658.61
Patient Complexity
2.91 × 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)
Survey: February 26, 2025(3 citations)
Survey: May 22, 2024(6 citations)
Survey: March 5, 2024(63 citations)
Survey: November 9, 2023(12 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.7 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
5.1 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.3 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
85.1 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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