CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
3/5
📊 Quality Measures
5/5
RN / Resident / Day
32 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
53 min
CNA hrs/day
2h 17m
Total Nurse / Resident / Day
3h 43m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
53 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
37 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
63%≈ avg
US avg: 64%
Total Nurse Weekend
4h 20m
Federal Penalties
9 penalties · $216,585 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 |
30-Day Readmission
24.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
17/100
Incentive Payment
-1.82% penalty
Risk-Std Readmission
22.9 per 100
Healthcare-Assoc. Infections
8.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
255
Avg Length of Stay
23.5 days
Avg Payment / Stay
$12,762.07
Patient Complexity
2.23 × 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)
| - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
| 1/26/2024 | Fine | $24,065 | - |
Inspection Citations
Survey: November 15, 2024(9 citations)
Survey: June 4, 2024(3 citations)
Survey: January 26, 2024(24 citations)
Survey: April 6, 2023(12 citations)
Survey: January 10, 2023(3 citations)
Falls w/ Major Injury
3.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.6 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.1 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
75.4 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
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.