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
2/5
RN / Resident / Day
47 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
45 min
CNA hrs/day
1h 59m
Total Nurse / Resident / Day
3h 31m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
52 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 3m
RN Hours Weekend
47 min
Weekend vs. Weekday RN
75%above avg
US avg: 64%
Total Nurse Weekend
3h 38m
Federal Penalties
54 penalties · $1,396,395 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 |
30-Day Readmission
22.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
10.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.44% penalty
Risk-Std Readmission
20.3 per 100
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
54
Avg Length of Stay
28.1 days
Avg Payment / Stay
$13,858.08
Patient Complexity
3.00 × 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)
| - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 3/3/2025 | Fine | $10,358 | - |
| 3/3/2025 | Fine | $53,966 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/16/2024 | Fine | $36,589 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
| 8/31/2023 | Fine | $7,796 | - |
| 8/31/2023 | Fine | $7,797 | - |
| 8/31/2023 | Fine | $38,649 | - |
Inspection Citations
Survey: August 7, 2025(27 citations)
Survey: July 1, 2025(3 citations)
Survey: April 30, 2025(3 citations)
Survey: March 13, 2025(21 citations)
Survey: March 3, 2025(3 citations)
+ 10 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.8 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
4.1 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
75.0 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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