CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
โญ Overall
3/5
๐ Health Inspection
4/5
๐ฉโโ๏ธ Staffing
1/5
๐ Quality Measures
4/5
RN / Resident / Day
30 min
State avg: 47 min ยท US avg: 41 min
LPN hrs/day
47 min
CNA hrs/day
1h 43m
Total Nurse / Resident / Day
3h 1m
State avg: 3h 54m ยท US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
57 per 100
State avg: 47 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
40 min
RN Hours Weekend
33 min
Weekend vs. Weekday RN
83%above avg
US avg: 64%
Total Nurse Weekend
3h 25m
Federal Penalties
No federal penalties in the past 3 years.
โ No penalty records on file
Inspection Citations
Survey: May 15, 2025(9 citations)
30-Day Readmission
13.6 per 100
State avg: 23.1 ยท US avg: 23.9
ED Visits (no readmit)
7.0 per 100
State avg: 9.8 ยท US avg: 12.0
VBP Performance Score
33/100
Incentive Payment
-1.26% penalty
Risk-Std Readmission
19.6 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
64
Avg Length of Stay
20.9 days
Avg Payment / Stay
$11,795.91
Patient Complexity
2.67 ร avg
Avg LOS 15-30 days is typical for short-term rehab ยท Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Survey: November 5, 2024(3 citations)
Survey: June 27, 2024(15 citations)
Survey: May 22, 2024(9 citations)
Survey: February 12, 2024(3 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.2 per 100
State avg: 3.2 ยท US avg: 3.3
Pressure Ulcers
2.2 per 100
State avg: 5.3 ยท US avg: 5.1
Antipsychotic Meds
0.6 per 100
State avg: 1.5 ยท US avg: 1.6
Flu Vaccination
62.5 per 100
State avg: 68.7 ยท US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
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