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
3/5
📊 Quality Measures
2/5
RN / Resident / Day
28 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
53 min
CNA hrs/day
2h 9m
Total Nurse / Resident / Day
3h 31m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
54 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
44 min
RN Hours Weekend
25 min
Weekend vs. Weekday RN
58%≈ avg
US avg: 64%
Total Nurse Weekend
3h 24m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: June 12, 2025(3 citations)
30-Day Readmission
30.0 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
21.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
42/100
Incentive Payment
-0.51% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
6.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
60
Avg Length of Stay
38.7 days
Avg Payment / Stay
$13,404.18
Patient Complexity
2.18 × 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: April 25, 2025(30 citations)
Survey: December 23, 2024(9 citations)
Survey: October 24, 2024(3 citations)
Survey: May 17, 2024(24 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
38.1 per 100
State avg: 68.7 · 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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