CMS Stars
Trust Index
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
โญ Overall
2/5
๐ Health Inspection
1/5
๐ฉโโ๏ธ Staffing
1/5
๐ Quality Measures
5/5
RN / Resident / Day
N/A
State avg: 47 min ยท US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
N/A
Total Nurse / Resident / Day
N/A
State avg: 3h 54m ยท US avg: 3h 53m
PT / Resident / Day
N/A
State avg: 6 min ยท US avg: 4 min
RN Turnover Rate
N/A
State avg: 47 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
30 min
RN Hours Weekend
27 min
Weekend vs. Weekday RN
90%above avg
US avg: 64%
Total Nurse Weekend
2h 44m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 |
30-Day Readmission
N/A
State avg: 23.1 ยท US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 9.8 ยท US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
12/100
Incentive Payment
-1.89% 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
29
Avg Length of Stay
19.2 days
Avg Payment / Stay
$8,378.59
Patient Complexity
3.94 ร avg
Avg LOS 15-30 days is typical for short-term rehab ยท Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
| 1/19/2023 | Fine | $234,366 | - |
Inspection Citations
Survey: November 21, 2025(3 citations)
Survey: September 18, 2025(60 citations)
Survey: July 15, 2025(6 citations)
Survey: April 18, 2025(9 citations)
Survey: October 31, 2024(3 citations)
+ 9 more survey(s) not shown in snapshot
1.0 per 100
State avg: 3.2 ยท US avg: 3.3
Pressure Ulcers
3.9 per 100
State avg: 5.3 ยท US avg: 5.1
Antipsychotic Meds
1.1 per 100
State avg: 1.5 ยท US avg: 1.6
Flu Vaccination
65.7 per 100
State avg: 68.7 ยท US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
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