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
30 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
47 min
CNA hrs/day
1h 59m
Total Nurse / Resident / Day
3h 17m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
42 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
31 min
RN Hours Weekend
17 min
Weekend vs. Weekday RN
54%below avg
US avg: 64%
Total Nurse Weekend
2h 39m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: November 6, 2024(3 citations)
30-Day Readmission
29.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
8.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
36/100
Incentive Payment
-1.05% penalty
Risk-Std Readmission
21.9 per 100
Healthcare-Assoc. Infections
6.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
53
Avg Length of Stay
12.2 days
Avg Payment / Stay
$7,149.07
Patient Complexity
3.27 × 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: November 30, 2023(12 citations)
Survey: December 6, 2022(12 citations)
Falls w/ Major Injury
2.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.9 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
83.9 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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