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
2/5
📊 Quality Measures
N/A
RN / Resident / Day
39 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
41 min
CNA hrs/day
2h 3m
Total Nurse / Resident / Day
3h 23m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
66 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
39 min
RN Hours Weekend
24 min
Weekend vs. Weekday RN
61%≈ avg
US avg: 64%
Total Nurse Weekend
3h 41m
Federal Penalties
9 penalties · $121,068 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 |
30-Day Readmission
26.8 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
5.9 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
16/100
Incentive Payment
-1.84% penalty
Risk-Std Readmission
20.4 per 100
Healthcare-Assoc. Infections
11.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
206
Avg Length of Stay
36.3 days
Avg Payment / Stay
$20,969.04
Patient Complexity
3.08 × 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)
| - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
| 4/16/2024 | Fine | $13,452 | - |
Inspection Citations
Survey: November 26, 2025(6 citations)
Survey: April 16, 2024(15 citations)
Falls w/ Major Injury
1.3 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
7.3 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
91.6 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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