CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
5/5
🔍 Health Inspection
5/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 36m
State avg: 47 min · US avg: 41 min
LPN hrs/day
41 min
CNA hrs/day
2h 22m
Total Nurse / Resident / Day
4h 38m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
59 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
2h 14m
RN Hours Weekend
1h 44m
Weekend vs. Weekday RN
78%above avg
US avg: 64%
Total Nurse Weekend
6h 11m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 12, 2025(3 citations)
30-Day Readmission
17.2 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
70/100
Incentive Payment
+2.23% bonus
Risk-Std Readmission
17.7 per 100
Healthcare-Assoc. Infections
5.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
85
Avg Length of Stay
17.0 days
Avg Payment / Stay
$7,889.83
Patient Complexity
2.24 × 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)
Survey: January 6, 2025(3 citations)
Survey: November 30, 2023(6 citations)
Falls w/ Major Injury
1.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
97.8 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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