CMS Stars
RN hrs / day
Trust Index
Bounce-back
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
4/5
📊 Quality Measures
5/5
RN / Resident / Day
3h 50m
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 49m
CNA hrs/day
4h 53m
Total Nurse / Resident / Day
10h 32m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
22 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
76 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 29m
RN Hours Weekend
60 min
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Total Nurse Weekend
4h 18m
Federal Penalties
27 penalties · $64,548 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 |
30-Day Readmission
16.8 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
4.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
65/100
Incentive Payment
+1.95% bonus
Risk-Std Readmission
17.7 per 100
Healthcare-Assoc. Infections
4.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
140
Avg Length of Stay
13.3 days
Avg Payment / Stay
$6,697.57
Patient Complexity
1.94 × 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)
| - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/8/2024 | Fine | $2,279 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 1/2/2024 | Fine | $1,748 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
| 12/11/2023 | Fine | $3,145 | - |
Inspection Citations
Survey: November 21, 2025(12 citations)
Survey: November 15, 2024(3 citations)
Survey: December 14, 2023(6 citations)
Falls w/ Major Injury
N/A
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
N/A
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
56.8 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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