CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
1/5
📊 Quality Measures
1/5
RN / Resident / Day
53 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
2h 4m
CNA hrs/day
2h 18m
Total Nurse / Resident / Day
5h 14m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
9 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
60 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 12m
RN Hours Weekend
49 min
Weekend vs. Weekday RN
68%≈ avg
US avg: 64%
Total Nurse Weekend
7h 39m
Federal Penalties
18 penalties · $518,112 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 |
30-Day Readmission
26.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
1/100
Incentive Payment
-1.96% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
8.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
27
Avg Length of Stay
21.8 days
Avg Payment / Stay
$18,444.33
Patient Complexity
9.37 × 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)
| - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 10/4/2024 | Fine | $35,363 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 8/8/2024 | Fine | $22,205 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
| 2/24/2023 | Fine | $3,250 | - |
| 2/24/2023 | Fine | $14,401 | - |
Inspection Citations
Survey: July 31, 2025(54 citations)
Survey: June 9, 2025(6 citations)
Survey: May 13, 2025(12 citations)
Survey: February 20, 2025(3 citations)
Survey: January 28, 2025(3 citations)
+ 7 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
16.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
6.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
19.7 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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