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
3/5
RN / Resident / Day
31 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
57 min
CNA hrs/day
2h 18m
Total Nurse / Resident / Day
3h 46m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 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
32 min
RN Hours Weekend
16 min
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
4h 47m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine |
30-Day Readmission
29.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
16.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
12/100
Incentive Payment
-1.89% penalty
Risk-Std Readmission
22.5 per 100
Healthcare-Assoc. Infections
7.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
78
Avg Length of Stay
23.0 days
Avg Payment / Stay
$9,882.31
Patient Complexity
3.43 × 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)
| $355,493 |
| - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
| 3/10/2023 | Fine | $355,493 | - |
| 3/10/2023 | Payment Denial | - | 101 |
Inspection Citations
Survey: September 25, 2025(6 citations)
Survey: June 6, 2025(21 citations)
Survey: February 19, 2025(3 citations)
Survey: January 10, 2025(6 citations)
Survey: November 26, 2024(6 citations)
+ 9 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
82.1 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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