CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
31 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
2h 6m
Total Nurse / Resident / Day
3h 29m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
28 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
33 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
68%≈ avg
US avg: 64%
Total Nurse Weekend
3h 8m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: November 15, 2024(9 citations)
30-Day Readmission
20.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
6.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
42/100
Incentive Payment
-0.46% penalty
Risk-Std Readmission
18.8 per 100
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
172
Avg Length of Stay
25.3 days
Avg Payment / Stay
$13,851.5
Patient Complexity
2.31 × 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: December 7, 2023(24 citations)
Survey: December 1, 2022(18 citations)
Falls w/ Major Injury
2.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
52.4 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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