CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
31 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
45 min
CNA hrs/day
2h 11m
Total Nurse / Resident / Day
3h 27m
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
48 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
47%well below avg
US avg: 64%
Total Nurse Weekend
3h 50m
Federal Penalties
9 penalties · $227,916 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 |
30-Day Readmission
29.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
62/100
Incentive Payment
+1.67% bonus
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
21.5 days
Avg Payment / Stay
$12,181.29
Patient Complexity
3.36 × 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)
| - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/22/2024 | Fine | $25,324 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
| 1/31/2023 | Fine | $115,120 | - |
Inspection Citations
Survey: October 31, 2024(54 citations)
Survey: September 10, 2024(12 citations)
Survey: July 30, 2024(18 citations)
Survey: May 16, 2024(6 citations)
Survey: January 22, 2024(63 citations)
+ 6 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.1 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
93.8 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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