CMS Stars
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
N/A
📊 Quality Measures
3/5
RN / Resident / Day
N/A
State avg: 47 min · US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
N/A
Total Nurse / Resident / Day
N/A
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
N/A
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
37 min
RN Hours Weekend
26 min
Weekend vs. Weekday RN
72%above avg
US avg: 64%
Total Nurse Weekend
5h 6m
Federal Penalties
27 penalties · $575,028 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 |
30-Day Readmission
24.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
15.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
47/100
Incentive Payment
+0.10% bonus
Risk-Std Readmission
19.1 per 100
Healthcare-Assoc. Infections
5.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
33
Avg Length of Stay
20.5 days
Avg Payment / Stay
$9,868.2
Patient Complexity
1.95 × 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)
| - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 4/24/2025 | Fine | $17,345 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 2/6/2025 | Fine | $33,716 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
| 3/21/2024 | Fine | $12,831 | - |
Inspection Citations
Survey: April 24, 2025(3 citations)
Survey: February 6, 2025(39 citations)
Survey: November 25, 2024(9 citations)
Survey: July 30, 2024(3 citations)
Survey: March 21, 2024(54 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.8 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
32.7 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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