CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
1h 11m
State avg: 47 min · US avg: 41 min
LPN hrs/day
59 min
CNA hrs/day
2h 51m
Total Nurse / Resident / Day
5h 1m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
41 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 24m
RN Hours Weekend
49 min
Weekend vs. Weekday RN
58%≈ avg
US avg: 64%
Total Nurse Weekend
4h 44m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 |
30-Day Readmission
24.5 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
5.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
51/100
Incentive Payment
+0.52% bonus
Risk-Std Readmission
21.5 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
126
Avg Length of Stay
15.9 days
Avg Payment / Stay
$6,896.01
Patient Complexity
1.99 × 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)
| - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
| 3/6/2023 | Fine | $4,226 | - |
Inspection Citations
Survey: July 2, 2025(24 citations)
Survey: August 8, 2024(15 citations)
Survey: September 29, 2023(6 citations)
Falls w/ Major Injury
2.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.8 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
52.6 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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