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
2/5
📊 Quality Measures
3/5
RN / Resident / Day
10 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 6m
CNA hrs/day
2h 24m
Total Nurse / Resident / Day
3h 39m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
57 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
11 min
RN Hours Weekend
6 min
Weekend vs. Weekday RN
52%below avg
US avg: 64%
Total Nurse Weekend
3h 37m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 |
30-Day Readmission
23.0 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
14.1 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.45% penalty
Risk-Std Readmission
20.2 per 100
Healthcare-Assoc. Infections
7.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
221
Avg Length of Stay
34.6 days
Avg Payment / Stay
$21,338.3
Patient Complexity
3.03 × 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)
| - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
| 4/20/2023 | Fine | $7,901 | - |
Inspection Citations
Survey: May 30, 2025(30 citations)
Survey: May 6, 2025(3 citations)
Survey: April 20, 2023(15 citations)
Falls w/ Major Injury
2.5 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
5.8 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
2.7 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
100.0 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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