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
4/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
53 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 3m
CNA hrs/day
2h 12m
Total Nurse / Resident / Day
4h 9m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
67 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
54 min
RN Hours Weekend
34 min
Weekend vs. Weekday RN
63%≈ avg
US avg: 64%
Total Nurse Weekend
3h 40m
Federal Penalties
18 penalties · $1,526,391 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial |
30-Day Readmission
46.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
15.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
18/100
Incentive Payment
-1.81% 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
26
Avg Length of Stay
25.3 days
Avg Payment / Stay
$9,986.14
Patient Complexity
3.10 × 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)
| - |
| 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 5/17/2024 | Payment Denial | - | 13 |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
| 12/13/2023 | Fine | $169,599 | - |
Inspection Citations
Survey: April 4, 2025(6 citations)
Survey: May 17, 2024(3 citations)
Survey: June 2, 2023(18 citations)
Survey: May 19, 2023(3 citations)
Survey: February 2, 2023(6 citations)
Falls w/ Major Injury
2.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
47.8 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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