CMS Stars
RN hrs / day
Trust Index
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
โญ Overall
4/5
๐ Health Inspection
4/5
๐ฉโโ๏ธ Staffing
4/5
๐ Quality Measures
4/5
RN / Resident / Day
2h 34m
State avg: 41 min ยท US avg: 41 min
LPN hrs/day
1h 21m
CNA hrs/day
3h 53m
Total Nurse / Resident / Day
7h 48m
State avg: 3h 51m ยท US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
33 per 100
State avg: 41 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
2h 6m
RN Hours Weekend
1h 49m
Weekend vs. Weekday RN
86%above avg
US avg: 64%
Total Nurse Weekend
6h 4m
Federal Penalties
No federal penalties in the past 3 years.
โ No penalty records on file
Inspection Citations
Survey: September 26, 2024(6 citations)
30-Day Readmission
N/A
State avg: 25.4 ยท US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 8.2 ยท US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
49/100
Incentive Payment
+0.31% bonus
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
N/A
Avg Length of Stay
N/A
Avg Payment / Stay
N/A
Patient Complexity
N/A
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 19, 2024(6 citations)
Survey: June 27, 2023(12 citations)
0.0 per 100
State avg: 2.4 ยท US avg: 3.3
Pressure Ulcers
7.3 per 100
State avg: 6.0 ยท US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.2 ยท US avg: 1.6
Flu Vaccination
N/A
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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