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
2/5
RN / Resident / Day
1h 6m
State avg: 41 min · US avg: 41 min
LPN hrs/day
24 min
CNA hrs/day
2h 41m
Total Nurse / Resident / Day
4h 11m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
40 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 28m
RN Hours Weekend
1h 7m
Weekend vs. Weekday RN
76%above avg
US avg: 64%
Total Nurse Weekend
4h 13m
Federal Penalties
9 penalties · $140,814 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 |
30-Day Readmission
22.0 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
15.8 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
46/100
Incentive Payment
-0.06% penalty
Risk-Std Readmission
20.5 per 100
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
94
Avg Length of Stay
21.9 days
Avg Payment / Stay
$15,173.62
Patient Complexity
3.62 × 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)
| - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
| 11/26/2024 | Fine | $15,646 | - |
Inspection Citations
Survey: May 2, 2025(3 citations)
Survey: January 22, 2025(45 citations)
Survey: January 14, 2025(3 citations)
Survey: November 26, 2024(3 citations)
Survey: March 1, 2024(3 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.8 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
9.7 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
90.9 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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