CMS Stars
RN hrs / day
Trust Index
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
1/5
📊 Quality Measures
5/5
RN / Resident / Day
15 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
35 min
CNA hrs/day
1h 44m
Total Nurse / Resident / Day
2h 35m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
34 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
23 min
RN Hours Weekend
20 min
Weekend vs. Weekday RN
87%above avg
US avg: 64%
Total Nurse Weekend
3h 37m
Federal Penalties
9 penalties · $632,853 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 |
30-Day Readmission
N/A
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 8.2 · US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
46/100
Incentive Payment
-0.12% 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 · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
| 2/12/2025 | Fine | $70,317 | - |
Inspection Citations
Survey: February 12, 2025(42 citations)
Survey: January 11, 2023(15 citations)
0.9 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
2.0 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
1.2 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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