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
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
1/5
RN / Resident / Day
41 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
48 min
CNA hrs/day
1h 26m
Total Nurse / Resident / Day
2h 55m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
57 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
38 min
RN Hours Weekend
24 min
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
3h 5m
Federal Penalties
18 penalties · $100,512 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 |
30-Day Readmission
29.5 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
16/100
Incentive Payment
-1.85% penalty
Risk-Std Readmission
24.6 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
91
Avg Length of Stay
23.4 days
Avg Payment / Stay
$10,993.7
Patient Complexity
5.89 × 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)
| - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 8/28/2024 | Fine | $8,021 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 6/26/2023 | Fine | $3,147 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
| 5/30/2023 | Fine | $6,293 | - |
Inspection Citations
Survey: May 28, 2025(3 citations)
Survey: May 15, 2025(6 citations)
Survey: March 6, 2025(15 citations)
Survey: January 3, 2025(3 citations)
Survey: July 25, 2024(3 citations)
+ 5 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
5.2 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
36.1 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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