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
39 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
53 min
CNA hrs/day
2h
Total Nurse / Resident / Day
3h 33m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
52 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
51 min
RN Hours Weekend
32 min
Weekend vs. Weekday RN
63%≈ avg
US avg: 64%
Total Nurse Weekend
3h 5m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 19, 2025(12 citations)
30-Day Readmission
24.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
8.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
36/100
Incentive Payment
-1.03% penalty
Risk-Std Readmission
21.4 per 100
Healthcare-Assoc. Infections
5.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
75
Avg Length of Stay
21.1 days
Avg Payment / Stay
$9,742.93
Patient Complexity
2.40 × 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)
Survey: August 20, 2025(3 citations)
Survey: July 15, 2025(3 citations)
Survey: June 3, 2025(9 citations)
Survey: November 15, 2024(24 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.5 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
56.1 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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