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
1/5
RN / Resident / Day
49 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
34 min
CNA hrs/day
1h 49m
Total Nurse / Resident / Day
3h 13m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
13 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
66 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
15 min
Weekend vs. Weekday RN
39%well below avg
US avg: 64%
Total Nurse Weekend
1h 28m
Federal Penalties
9 penalties · $170,802 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 |
30-Day Readmission
18.7 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
11/100
Incentive Payment
-1.90% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
36
Avg Length of Stay
18.9 days
Avg Payment / Stay
$8,524.31
Patient Complexity
2.24 × 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)
| - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
| 9/12/2025 | Fine | $18,978 | - |
Inspection Citations
Survey: September 30, 2025(3 citations)
Survey: September 12, 2025(33 citations)
Survey: February 10, 2025(36 citations)
Survey: September 7, 2024(3 citations)
Survey: July 18, 2024(9 citations)
+ 6 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.3 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
69.8 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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