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
4/5
RN / Resident / Day
32 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
50 min
CNA hrs/day
1h 59m
Total Nurse / Resident / Day
3h 22m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
44 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
15 min
Weekend vs. Weekday RN
47%well below avg
US avg: 64%
Total Nurse Weekend
3h 27m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: February 13, 2025(54 citations)
30-Day Readmission
20.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.4 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
37/100
Incentive Payment
-1.01% penalty
Risk-Std Readmission
18.5 per 100
Healthcare-Assoc. Infections
7.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
95
Avg Length of Stay
19.0 days
Avg Payment / Stay
$10,064.01
Patient Complexity
2.96 × 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)
Survey: June 21, 2024(6 citations)
Survey: April 23, 2024(3 citations)
Survey: March 28, 2024(48 citations)
Survey: January 18, 2024(3 citations)
+ 5 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
65.3 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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