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
3/5
📊 Quality Measures
3/5
RN / Resident / Day
56 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
36 min
CNA hrs/day
1h 55m
Total Nurse / Resident / Day
3h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
46 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 5m
RN Hours Weekend
45 min
Weekend vs. Weekday RN
69%≈ avg
US avg: 64%
Total Nurse Weekend
3h 7m
Federal Penalties
18 penalties · $337,644 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 |
30-Day Readmission
33.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
12.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
15/100
Incentive Payment
-1.86% penalty
Risk-Std Readmission
20.9 per 100
Healthcare-Assoc. Infections
7.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
91
Avg Length of Stay
19.9 days
Avg Payment / Stay
$9,488.29
Patient Complexity
2.62 × 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)
| - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 9/25/2025 | Fine | $28,020 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 3/6/2025 | Fine | $9,496 | - |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 5/16/2023 | Payment Denial | - | 14 |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
| 1/30/2023 | Fine | $3,465 | - |
| 1/30/2023 | Fine | $12,128 | - |
Inspection Citations
Survey: September 25, 2025(36 citations)
Survey: March 6, 2025(18 citations)
Survey: January 28, 2025(3 citations)
Survey: December 12, 2024(60 citations)
Survey: September 5, 2024(3 citations)
+ 8 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
81.7 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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