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
4/5
📊 Quality Measures
4/5
RN / Resident / Day
30 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
56 min
CNA hrs/day
2h 23m
Total Nurse / Resident / Day
3h 50m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 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
38 min
RN Hours Weekend
19 min
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
3h 21m
Federal Penalties
9 penalties · $349,182 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 |
30-Day Readmission
15.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
35/100
Incentive Payment
-1.15% penalty
Risk-Std Readmission
20.0 per 100
Healthcare-Assoc. Infections
6.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
49
Avg Length of Stay
28.4 days
Avg Payment / Stay
$12,172.49
Patient Complexity
3.02 × 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)
| - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/4/2024 | Fine | $38,798 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
| 3/10/2023 | Fine | $114,768 | - |
Inspection Citations
Survey: September 18, 2025(48 citations)
Survey: October 24, 2024(60 citations)
Survey: May 13, 2024(6 citations)
Survey: March 4, 2024(3 citations)
Survey: November 16, 2023(36 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.9 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
0.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
73.0 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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