CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
21 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 7m
CNA hrs/day
1h 50m
Total Nurse / Resident / Day
3h 19m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
46 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
35 min
RN Hours Weekend
17 min
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
3h 31m
Federal Penalties
18 penalties · $381,708 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 |
30-Day Readmission
25.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
16.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
29/100
Incentive Payment
-1.46% penalty
Risk-Std Readmission
23.6 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
71
Avg Length of Stay
19.2 days
Avg Payment / Stay
$10,907.12
Patient Complexity
3.39 × 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)
| - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 11/1/2024 | Fine | $18,535 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 2/1/2024 | Fine | $23,877 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
| 1/25/2023 | Fine | $10,065 | - |
Inspection Citations
Survey: October 3, 2025(3 citations)
Survey: April 10, 2025(36 citations)
Survey: November 1, 2024(30 citations)
Survey: August 22, 2024(3 citations)
Survey: February 29, 2024(6 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.3 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
4.5 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
11.6 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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