CMS Stars
RN hrs / day
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
3/5
📊 Quality Measures
4/5
RN / Resident / Day
27 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
51 min
CNA hrs/day
2h 8m
Total Nurse / Resident / Day
3h 26m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
74 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
33 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 55m
Federal Penalties
18 penalties · $1,034,217 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 |
30-Day Readmission
17.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
37/100
Incentive Payment
-0.96% 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
34
Avg Length of Stay
18.4 days
Avg Payment / Stay
$10,000.08
Patient Complexity
2.31 × 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)
| - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 12/9/2024 | Fine | $15,435 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 1/31/2024 | Fine | $99,478 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
| 5/16/2023 | Fine | $13,397 | - |
Inspection Citations
Survey: May 22, 2025(24 citations)
Survey: April 16, 2025(3 citations)
Survey: January 21, 2025(3 citations)
Survey: December 9, 2024(3 citations)
Survey: August 1, 2024(15 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.2 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
6.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
78.1 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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