CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
5/5
📊 Quality Measures
3/5
RN / Resident / Day
1h 11m
State avg: 47 min · US avg: 41 min
LPN hrs/day
51 min
CNA hrs/day
2h 25m
Total Nurse / Resident / Day
4h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
25 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 10m
RN Hours Weekend
45 min
Weekend vs. Weekday RN
64%≈ avg
US avg: 64%
Total Nurse Weekend
3h 31m
Federal Penalties
9 penalties · $1,363,113 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 |
30-Day Readmission
23.7 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
56/100
Incentive Payment
+1.10% bonus
Risk-Std Readmission
19.4 per 100
Healthcare-Assoc. Infections
6.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
84
Avg Length of Stay
18.4 days
Avg Payment / Stay
$10,295.66
Patient Complexity
2.18 × 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)
| - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
| 7/31/2024 | Fine | $151,457 | - |
Inspection Citations
Survey: July 31, 2024(6 citations)
Survey: January 11, 2024(6 citations)
Survey: January 13, 2023(15 citations)
Falls w/ Major Injury
6.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.6 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
85.7 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.