CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
30 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
2h 5m
Total Nurse / Resident / Day
3h 28m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
52 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
38 min
RN Hours Weekend
17 min
Weekend vs. Weekday RN
46%well below avg
US avg: 64%
Total Nurse Weekend
5h 27m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 24, 2025(33 citations)
30-Day Readmission
28.8 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
12.2 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
47/100
Incentive Payment
+0.10% bonus
Risk-Std Readmission
19.1 per 100
Healthcare-Assoc. Infections
5.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
163
Avg Length of Stay
17.2 days
Avg Payment / Stay
$10,599.22
Patient Complexity
2.83 × 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)
Survey: May 15, 2025(6 citations)
Survey: June 28, 2024(6 citations)
Survey: February 19, 2024(27 citations)
Falls w/ Major Injury
1.8 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
7.2 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
1.0 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
96.9 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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