CMS Stars
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
N/A
📊 Quality Measures
4/5
RN / Resident / Day
N/A
State avg: 47 min · US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
N/A
Total Nurse / Resident / Day
N/A
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
N/A
State avg: 6 min · US avg: 4 min
RN Turnover Rate
43 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
36 min
RN Hours Weekend
20 min
Weekend vs. Weekday RN
56%below avg
US avg: 64%
Total Nurse Weekend
3h 47m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 24, 2025(3 citations)
30-Day Readmission
24.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
17.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
48/100
Incentive Payment
+0.19% bonus
Risk-Std Readmission
19.5 per 100
Healthcare-Assoc. Infections
5.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
114
Avg Length of Stay
20.1 days
Avg Payment / Stay
$9,424.69
Patient Complexity
2.00 × 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: August 22, 2025(33 citations)
Survey: September 27, 2024(24 citations)
Survey: October 27, 2023(27 citations)
Survey: July 5, 2023(3 citations)
Falls w/ Major Injury
5.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
94.5 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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