CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
22 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
58 min
CNA hrs/day
2h 7m
Total Nurse / Resident / Day
3h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 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
28 min
RN Hours Weekend
18 min
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Total Nurse Weekend
3h 53m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 |
30-Day Readmission
30.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
6.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
48/100
Incentive Payment
+0.11% bonus
Risk-Std Readmission
18.8 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
44
Avg Length of Stay
16.5 days
Avg Payment / Stay
$9,918.28
Patient Complexity
2.14 × 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)
| - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
| 2/27/2023 | Fine | $7,796 | - |
| 2/27/2023 | Fine | $7,797 | - |
Inspection Citations
Survey: March 7, 2025(24 citations)
Survey: April 5, 2024(9 citations)
Survey: February 27, 2023(6 citations)
Falls w/ Major Injury
3.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
22.9 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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