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
2/5
📊 Quality Measures
3/5
RN / Resident / Day
38 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
50 min
CNA hrs/day
2h 2m
Total Nurse / Resident / Day
3h 30m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
58 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
50 min
RN Hours Weekend
33 min
Weekend vs. Weekday RN
65%≈ avg
US avg: 64%
Total Nurse Weekend
4h 14m
Federal Penalties
18 penalties · $44,442 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 |
30-Day Readmission
33.5 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
19/100
Incentive Payment
-1.80% 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
N/A
Avg Length of Stay
N/A
Avg Payment / Stay
N/A
Patient Complexity
N/A
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 8/7/2023 | Fine | $1,764 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 7/17/2023 | Fine | $3,174 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 5/4/2023 | Fine | $8,190 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
| 2/2/2023 | Fine | $54,770 | - |
Inspection Citations
Survey: November 13, 2025(3 citations)
Survey: August 11, 2025(9 citations)
Survey: June 12, 2025(9 citations)
Survey: May 14, 2025(15 citations)
Survey: March 27, 2025(9 citations)
+ 14 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
13.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
70.3 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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