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
3/5
📊 Quality Measures
4/5
RN / Resident / Day
31 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
46 min
CNA hrs/day
1h 56m
Total Nurse / Resident / Day
3h 14m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
49 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
37 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
60%≈ avg
US avg: 64%
Total Nurse Weekend
3h 5m
Federal Penalties
9 penalties · $177,840 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 |
30-Day Readmission
23.5 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
2.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
29/100
Incentive Payment
-1.48% penalty
Risk-Std Readmission
19.3 per 100
Healthcare-Assoc. Infections
8.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
198
Avg Length of Stay
20.2 days
Avg Payment / Stay
$9,566.66
Patient Complexity
2.50 × 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)
| - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
| 11/14/2023 | Fine | $19,760 | - |
Inspection Citations
Survey: September 11, 2025(3 citations)
Survey: June 18, 2025(3 citations)
Survey: December 19, 2024(18 citations)
Survey: October 8, 2024(3 citations)
Survey: March 6, 2024(6 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.6 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
88.2 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.