CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
3/5
RN / Resident / Day
20 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 3m
CNA hrs/day
2h 11m
Total Nurse / Resident / Day
3h 34m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
77 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
34 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Total Nurse Weekend
5h 41m
Federal Penalties
63 penalties · $627,615 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 |
30-Day Readmission
19.0 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
20.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
11/100
Incentive Payment
-1.91% penalty
Risk-Std Readmission
22.6 per 100
Healthcare-Assoc. Infections
7.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
90
Avg Length of Stay
27.9 days
Avg Payment / Stay
$12,666.05
Patient Complexity
2.83 × 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)
| - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 4/17/2024 | Fine | $30,245 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 12/11/2023 | Fine | $11,538 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/13/2023 | Fine | $7,796 | - |
| 11/13/2023 | Fine | $7,797 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 11/6/2023 | Fine | $3,208 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/30/2023 | Fine | $2,858 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
| 10/10/2023 | Fine | $6,293 | - |
Inspection Citations
Survey: August 14, 2025(6 citations)
Survey: July 21, 2025(9 citations)
Survey: June 12, 2025(6 citations)
Survey: May 28, 2025(15 citations)
Survey: May 8, 2025(15 citations)
+ 17 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
18.9 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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