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
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
32 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 6m
CNA hrs/day
2h 6m
Total Nurse / Resident / Day
3h 44m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
59 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
27 min
RN Hours Weekend
19 min
Weekend vs. Weekday RN
71%above avg
US avg: 64%
Total Nurse Weekend
3h 7m
Federal Penalties
1 penalty · $274,651 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/9/2023 | Fine | $274,651 | - |
| 6/2/2023 | Fine | $9,315 | - |
Inspection Citations
Survey: October 23, 2025(2 citations)
30-Day Readmission
21.8 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
12/100
Incentive Payment
-1.89% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
79
Avg Length of Stay
18.4 days
Avg Payment / Stay
$8,946.2
Patient Complexity
2.68 × 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: November 15, 2024(5 citations)
Survey: January 19, 2024(7 citations)
Survey: December 13, 2023(2 citations)
Survey: November 9, 2023(7 citations)
+ 5 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.4 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
88.4 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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