CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
1h 6m
State avg: 47 min · US avg: 41 min
LPN hrs/day
41 min
CNA hrs/day
1h 56m
Total Nurse / Resident / Day
3h 43m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
7 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
34 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 6m
RN Hours Weekend
43 min
Weekend vs. Weekday RN
64%≈ avg
US avg: 64%
Total Nurse Weekend
3h 17m
Federal Penalties
18 penalties · $695,448 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 |
30-Day Readmission
18.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.4 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
37/100
Incentive Payment
-0.99% penalty
Risk-Std Readmission
20.4 per 100
Healthcare-Assoc. Infections
6.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
66
Avg Length of Stay
20.3 days
Avg Payment / Stay
$10,784.38
Patient Complexity
2.79 × 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)
| - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 10/18/2024 | Fine | $62,790 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
| 11/9/2023 | Fine | $14,482 | - |
Inspection Citations
Survey: August 28, 2025(15 citations)
Survey: October 18, 2024(15 citations)
Survey: January 17, 2024(9 citations)
Survey: November 9, 2023(15 citations)
Survey: May 24, 2023(6 citations)
Falls w/ Major Injury
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.0 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
26.9 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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