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
4/5
👩⚕️ Staffing
1/5
📊 Quality Measures
3/5
RN / Resident / Day
12 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
10 min
CNA hrs/day
35 min
Total Nurse / Resident / Day
57 min
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
49 min
RN Hours Weekend
30 min
Weekend vs. Weekday RN
60%≈ avg
US avg: 64%
Total Nurse Weekend
3h 15m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: April 10, 2025(3 citations)
30-Day Readmission
27.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
8.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
26/100
Incentive Payment
-1.59% penalty
Risk-Std Readmission
21.7 per 100
Healthcare-Assoc. Infections
7.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
80
Avg Length of Stay
35.6 days
Avg Payment / Stay
$14,860.11
Patient Complexity
2.73 × 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: February 21, 2025(12 citations)
Survey: March 22, 2024(15 citations)
Survey: March 17, 2023(12 citations)
Falls w/ Major Injury
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.6 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.5 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
79.0 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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