CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
3/5
RN / Resident / Day
46 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
46 min
CNA hrs/day
1h 52m
Total Nurse / Resident / Day
3h 24m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
65 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
49 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
44%well below avg
US avg: 64%
Total Nurse Weekend
3h 39m
Federal Penalties
18 penalties · $642,438 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 |
30-Day Readmission
26.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
18.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
16/100
Incentive Payment
-1.85% penalty
Risk-Std Readmission
19.6 per 100
Healthcare-Assoc. Infections
8.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
70
Avg Length of Stay
18.8 days
Avg Payment / Stay
$9,419.95
Patient Complexity
2.33 × 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)
| - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 4/2/2025 | Fine | $15,327 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
| 7/2/2024 | Fine | $56,055 | - |
Inspection Citations
Survey: November 21, 2025(6 citations)
Survey: September 5, 2025(6 citations)
Survey: August 8, 2025(15 citations)
Survey: July 15, 2025(9 citations)
Survey: June 20, 2025(6 citations)
+ 13 more survey(s) not shown in snapshot
Falls w/ Major Injury
5.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
94.2 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
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