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
2/5
👩⚕️ Staffing
3/5
📊 Quality Measures
4/5
RN / Resident / Day
52 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
32 min
CNA hrs/day
1h 53m
Total Nurse / Resident / Day
3h 18m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
49 min
RN Hours Weekend
37 min
Weekend vs. Weekday RN
76%above avg
US avg: 64%
Total Nurse Weekend
3h 51m
Federal Penalties
9 penalties · $90,531 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 |
30-Day Readmission
N/A
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 9.8 · US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
N/A
Incentive Payment
N/A
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
33
Avg Length of Stay
20.0 days
Avg Payment / Stay
$9,626.88
Patient Complexity
2.15 × 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)
| - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
| 9/28/2023 | Fine | $10,059 | - |
Inspection Citations
Survey: July 9, 2025(24 citations)
Survey: March 26, 2025(6 citations)
Survey: November 12, 2024(6 citations)
Survey: August 1, 2024(48 citations)
Survey: July 1, 2024(3 citations)
+ 3 more survey(s) not shown in snapshot
3.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
8.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
28.2 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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