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
3/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 33m
State avg: 47 min · US avg: 41 min
LPN hrs/day
50 min
CNA hrs/day
2h 39m
Total Nurse / Resident / Day
5h 2m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
10 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
40 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 25m
RN Hours Weekend
56 min
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
4h 28m
Federal Penalties
18 penalties · $248,778 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 |
30-Day Readmission
17.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.7 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
64/100
Incentive Payment
+1.84% bonus
Risk-Std Readmission
17.5 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
96
Avg Length of Stay
22.1 days
Avg Payment / Stay
$11,999.19
Patient Complexity
2.09 × 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)
| - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 3/14/2025 | Fine | $14,015 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/1/2024 | Fine | $13,627 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/13/2023 | Fine | $4,227 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 2/6/2023 | Fine | $3,846 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/30/2023 | Fine | $3,496 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
| 1/23/2023 | Fine | $3,170 | - |
Inspection Citations
Survey: March 14, 2025(18 citations)
Survey: February 1, 2024(18 citations)
Survey: February 2, 2023(6 citations)
Falls w/ Major Injury
2.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.2 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
90.5 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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