CMS Stars
RN hrs / day
Trust Index
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
admissions direct
888.VPF.KIDS (873.5437)โญ Overall
2/5
๐ Health Inspection
1/5
๐ฉโโ๏ธ Staffing
3/5
๐ Quality Measures
5/5
RN / Resident / Day
2h 1m
State avg: 41 min ยท US avg: 41 min
LPN hrs/day
3h 21m
CNA hrs/day
55 min
Total Nurse / Resident / Day
6h 17m
State avg: 3h 51m ยท US avg: 3h 53m
PT / Resident / Day
13 min
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
31 per 100
State avg: 41 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
2h 27m
RN Hours Weekend
1h 42m
Weekend vs. Weekday RN
69%โ avg
US avg: 64%
Total Nurse Weekend
5h 41m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 |
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
2/100
Incentive Payment
-1.96% penalty
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)
| - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
| 4/11/2023 | Fine | $285,780 | - |
Inspection Citations
Survey: October 21, 2025(3 citations)
Survey: May 23, 2025(33 citations)
Survey: February 22, 2024(21 citations)
Survey: October 5, 2023(9 citations)
Survey: April 11, 2023(15 citations)
0.0 per 100
State avg: 2.4 ยท US avg: 3.3
Pressure Ulcers
2.8 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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