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
3/5
RN / Resident / Day
29 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
47 min
CNA hrs/day
1h 55m
Total Nurse / Resident / Day
3h 10m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 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
43 min
RN Hours Weekend
27 min
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
3h 17m
Federal Penalties
9 penalties · $0 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - |
30-Day Readmission
15.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
18.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
26/100
Incentive Payment
-1.59% penalty
Risk-Std Readmission
20.7 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
80
Avg Length of Stay
14.5 days
Avg Payment / Stay
$7,755.75
Patient Complexity
2.15 × 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)
| 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
| 9/27/2023 | Payment Denial | - | 56 |
Inspection Citations
Survey: August 15, 2025(24 citations)
Survey: April 9, 2025(3 citations)
Survey: October 11, 2024(21 citations)
Survey: August 1, 2024(3 citations)
Survey: January 18, 2024(9 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.3 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
58.8 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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