CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
43 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
37 min
CNA hrs/day
2h 6m
Total Nurse / Resident / Day
3h 26m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
24 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
32 min
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Total Nurse Weekend
3h 11m
Federal Penalties
18 penalties · $227,817 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 |
30-Day Readmission
34.5 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
14.0 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.41% penalty
Risk-Std Readmission
21.7 per 100
Healthcare-Assoc. Infections
9.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
39
Avg Length of Stay
33.1 days
Avg Payment / Stay
$21,183.84
Patient Complexity
2.81 × 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 | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 10/15/2024 | Fine | $16,801 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
| 1/30/2024 | Fine | $8,512 | - |
Inspection Citations
Survey: September 9, 2025(6 citations)
Survey: January 28, 2025(3 citations)
Survey: October 15, 2024(3 citations)
Survey: June 27, 2024(3 citations)
Survey: January 30, 2024(3 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.8 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
6.6 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
93.2 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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