CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
4/5
RN / Resident / Day
32 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
54 min
CNA hrs/day
2h 8m
Total Nurse / Resident / Day
3h 34m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
58 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
14 min
Weekend vs. Weekday RN
37%well below avg
US avg: 64%
Total Nurse Weekend
2h 49m
Federal Penalties
27 penalties · $168,921 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - |
30-Day Readmission
27.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
3.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
18/100
Incentive Payment
-1.81% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
7.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
50
Avg Length of Stay
31.8 days
Avg Payment / Stay
$13,224.73
Patient Complexity
2.98 × 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)
| 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 8/9/2024 | Payment Denial | - | 61 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 10/20/2023 | Payment Denial | - | 47 |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
| 8/9/2023 | Fine | $18,769 | - |
Inspection Citations
Survey: July 25, 2025(42 citations)
Survey: April 1, 2025(6 citations)
Survey: September 6, 2024(57 citations)
Survey: August 9, 2024(15 citations)
Survey: February 14, 2024(6 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
5.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
77.8 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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