CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
4/5
RN / Resident / Day
49 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
42 min
CNA hrs/day
2h 1m
Total Nurse / Resident / Day
3h 31m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
47 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
44 min
Weekend vs. Weekday RN
81%above avg
US avg: 64%
Total Nurse Weekend
3h 25m
Federal Penalties
18 penalties · $209,313 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 |
30-Day Readmission
26.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
10.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
62/100
Incentive Payment
+1.71% bonus
Risk-Std Readmission
17.7 per 100
Healthcare-Assoc. Infections
4.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
173
Avg Length of Stay
21.6 days
Avg Payment / Stay
$11,496.56
Patient Complexity
2.63 × 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)
| - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 11/18/2024 | Fine | $15,239 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
| 6/4/2024 | Fine | $8,018 | - |
Inspection Citations
Survey: February 3, 2025(12 citations)
Survey: December 18, 2024(3 citations)
Survey: June 4, 2024(3 citations)
Survey: February 23, 2024(30 citations)
Survey: August 15, 2023(3 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
63.7 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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