CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
2/5
RN / Resident / Day
26 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
1h 50m
Total Nurse / Resident / Day
3h 8m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
69 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
30 min
RN Hours Weekend
21 min
Weekend vs. Weekday RN
72%above avg
US avg: 64%
Total Nurse Weekend
4h 4m
Federal Penalties
9 penalties · $2,747,250 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 |
30-Day Readmission
26.7 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
22.4 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
7/100
Incentive Payment
-1.94% penalty
Risk-Std Readmission
22.5 per 100
Healthcare-Assoc. Infections
7.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
61
Avg Length of Stay
20.3 days
Avg Payment / Stay
$10,057.4
Patient Complexity
2.81 × 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)
| - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
| 5/23/2024 | Fine | $305,250 | - |
Inspection Citations
Survey: November 8, 2025(3 citations)
Survey: April 4, 2025(42 citations)
Survey: September 19, 2024(3 citations)
Survey: May 23, 2024(60 citations)
Survey: February 2, 2024(12 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
7.9 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
1.6 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
81.9 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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