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
4/5
👩⚕️ Staffing
4/5
📊 Quality Measures
1/5
RN / Resident / Day
26 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 7m
CNA hrs/day
2h 35m
Total Nurse / Resident / Day
4h 8m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
43 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
39 min
RN Hours Weekend
26 min
Weekend vs. Weekday RN
68%≈ avg
US avg: 64%
Total Nurse Weekend
3h 59m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 |
30-Day Readmission
22.5 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
17.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
33/100
Incentive Payment
-1.27% penalty
Risk-Std Readmission
22.5 per 100
Healthcare-Assoc. Infections
6.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
82
Avg Length of Stay
29.5 days
Avg Payment / Stay
$13,139.1
Patient Complexity
2.62 × 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)
| - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
| 2/15/2023 | Fine | $7,901 | - |
Inspection Citations
Survey: February 14, 2025(9 citations)
Survey: February 15, 2023(18 citations)
Falls w/ Major Injury
9.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.3 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
84.6 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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