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
5/5
👩⚕️ Staffing
4/5
📊 Quality Measures
4/5
RN / Resident / Day
1h 35m
State avg: 47 min · US avg: 41 min
LPN hrs/day
32 min
CNA hrs/day
2h 20m
Total Nurse / Resident / Day
4h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
7 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
61 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 52m
RN Hours Weekend
1h 18m
Weekend vs. Weekday RN
69%≈ avg
US avg: 64%
Total Nurse Weekend
4h 2m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: February 21, 2025(3 citations)
30-Day Readmission
35.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
19.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
44/100
Incentive Payment
-0.25% penalty
Risk-Std Readmission
19.5 per 100
Healthcare-Assoc. Infections
6.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
82
Avg Length of Stay
13.5 days
Avg Payment / Stay
$7,328.71
Patient Complexity
2.02 × 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: April 20, 2023(3 citations)
Falls w/ Major Injury
1.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.9 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
88.0 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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