CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
5/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 5m
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 16m
CNA hrs/day
2h 32m
Total Nurse / Resident / Day
4h 53m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
45 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 12m
RN Hours Weekend
49 min
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Total Nurse Weekend
4h 59m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 |
30-Day Readmission
25.5 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
7.0 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
62/100
Incentive Payment
+1.70% bonus
Risk-Std Readmission
18.9 per 100
Healthcare-Assoc. Infections
6.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
96
Avg Length of Stay
17.7 days
Avg Payment / Stay
$10,129.07
Patient Complexity
2.16 × 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)
| - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
| 7/7/2023 | Fine | $82,560 | - |
Inspection Citations
Survey: September 19, 2024(24 citations)
Survey: July 7, 2023(15 citations)
Falls w/ Major Injury
0.0 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
5.0 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
2.3 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
64.3 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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