CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
5/5
🔍 Health Inspection
5/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
51 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 16m
CNA hrs/day
2h 31m
Total Nurse / Resident / Day
4h 39m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
23 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 2m
RN Hours Weekend
22 min
Weekend vs. Weekday RN
36%well below avg
US avg: 64%
Total Nurse Weekend
4h 4m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 12, 2024(3 citations)
30-Day Readmission
30.1 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
3.0 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
44/100
Incentive Payment
-0.32% penalty
Risk-Std Readmission
20.3 per 100
Healthcare-Assoc. Infections
6.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
140
Avg Length of Stay
18.8 days
Avg Payment / Stay
$10,224.67
Patient Complexity
2.34 × 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: August 31, 2023(6 citations)
Survey: March 9, 2022(9 citations)
Falls w/ Major Injury
7.5 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
8.5 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
82.1 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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