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
2/5
👩⚕️ Staffing
3/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 12m
State avg: 47 min · US avg: 41 min
LPN hrs/day
55 min
CNA hrs/day
2h 9m
Total Nurse / Resident / Day
4h 16m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
19 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
79 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 13m
RN Hours Weekend
1h 4m
Weekend vs. Weekday RN
87%above avg
US avg: 64%
Total Nurse Weekend
5h 58m
Federal Penalties
9 penalties · $325,674 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 |
30-Day Readmission
27.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
3.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
11/100
Incentive Payment
-1.91% penalty
Risk-Std Readmission
24.2 per 100
Healthcare-Assoc. Infections
7.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
264
Avg Length of Stay
23.2 days
Avg Payment / Stay
$12,769.32
Patient Complexity
2.63 × 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)
| - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
| 7/12/2024 | Fine | $36,186 | - |
Inspection Citations
Survey: May 16, 2025(30 citations)
Survey: September 25, 2024(3 citations)
Survey: August 13, 2024(3 citations)
Survey: July 12, 2024(48 citations)
Survey: April 22, 2024(6 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.2 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
94.6 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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