CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
5/5
RN / Resident / Day
41 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
44 min
CNA hrs/day
1h 47m
Total Nurse / Resident / Day
3h 12m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
35 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
45 min
RN Hours Weekend
20 min
Weekend vs. Weekday RN
45%well below avg
US avg: 64%
Total Nurse Weekend
2h 53m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 |
30-Day Readmission
12.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
4.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
41/100
Incentive Payment
-0.64% penalty
Risk-Std Readmission
19.2 per 100
Healthcare-Assoc. Infections
7.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
67
Avg Length of Stay
21.1 days
Avg Payment / Stay
$9,949.28
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)
| - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
| 4/14/2023 | Fine | $7,443 | - |
| 4/14/2023 | Fine | $7,815 | - |
| 4/14/2023 | Fine | $9,311 | - |
Inspection Citations
Survey: July 30, 2025(3 citations)
Survey: March 7, 2025(27 citations)
Survey: July 15, 2024(6 citations)
Survey: April 29, 2024(3 citations)
Survey: April 2, 2024(3 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.6 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
100.0 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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