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
2/5
RN / Resident / Day
29 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
2h 1m
Total Nurse / Resident / Day
3h 21m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
48 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
40 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
56%below avg
US avg: 64%
Total Nurse Weekend
3h 16m
Federal Penalties
18 penalties · $513,369 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 |
30-Day Readmission
29.7 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
3.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
12/100
Incentive Payment
-1.89% penalty
Risk-Std Readmission
23.0 per 100
Healthcare-Assoc. Infections
7.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
43
Avg Length of Stay
25.8 days
Avg Payment / Stay
$10,144.16
Patient Complexity
4.23 × 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)
| - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 6/4/2024 | Fine | $46,982 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 8/25/2023 | Fine | $10,059 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
| 1/30/2023 | Fine | $8,190 | - |
Inspection Citations
Survey: November 20, 2025(3 citations)
Survey: October 1, 2025(3 citations)
Survey: August 27, 2025(9 citations)
Survey: July 31, 2025(3 citations)
Survey: July 2, 2025(6 citations)
+ 20 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
4.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
90.3 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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