CMS Stars
RN hrs / day
Trust Index
Bounce-back
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 27m
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 31m
CNA hrs/day
3h 3m
Total Nurse / Resident / Day
6h 1m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
33 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
43 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 52m
RN Hours Weekend
1h 20m
Weekend vs. Weekday RN
71%above avg
US avg: 64%
Total Nurse Weekend
6h 6m
Federal Penalties
9 penalties · $73,737 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 |
30-Day Readmission
29.3 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
10.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
44/100
Incentive Payment
-0.30% penalty
Risk-Std Readmission
24.4 per 100
Healthcare-Assoc. Infections
6.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
248
Avg Length of Stay
15.2 days
Avg Payment / Stay
$7,835.75
Patient Complexity
2.15 × 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)
| - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
| 7/7/2023 | Fine | $8,193 | - |
Inspection Citations
Survey: February 21, 2025(6 citations)
Survey: May 3, 2024(3 citations)
Survey: July 7, 2023(9 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
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
93.0 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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