CMS Stars
RN hrs / day
Trust Index
Bounce-back
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
1h 3m
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 22m
CNA hrs/day
1h 41m
Total Nurse / Resident / Day
4h 5m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
18 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
37 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 28m
RN Hours Weekend
57 min
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 32m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: June 30, 2025(6 citations)
30-Day Readmission
27.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
44/100
Incentive Payment
-0.35% penalty
Risk-Std Readmission
22.8 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
983
Avg Length of Stay
22.4 days
Avg Payment / Stay
$10,776.73
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: December 4, 2024(3 citations)
Survey: July 11, 2024(9 citations)
Survey: September 8, 2023(18 citations)
Survey: March 23, 2023(3 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
0.2 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
72.5 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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