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
2/5
📊 Quality Measures
3/5
RN / Resident / Day
55 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 12m
CNA hrs/day
1h 57m
Total Nurse / Resident / Day
4h 5m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
14 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
58 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
53 min
RN Hours Weekend
34 min
Weekend vs. Weekday RN
65%≈ avg
US avg: 64%
Total Nurse Weekend
4h 1m
Federal Penalties
54 penalties · $1,081,566 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 |
30-Day Readmission
24.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
12.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
13/100
Incentive Payment
-1.88% penalty
Risk-Std Readmission
22.6 per 100
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
855
Avg Length of Stay
18.3 days
Avg Payment / Stay
$10,094.22
Patient Complexity
2.40 × 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)
| - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 4/15/2025 | Fine | $15,935 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 1/16/2025 | Fine | $66,420 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 8/22/2024 | Fine | $13,575 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 1/27/2024 | Fine | $8,400 | - |
| 1/27/2024 | Fine | $8,401 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
| 11/1/2023 | Fine | $7,443 | - |
Inspection Citations
Survey: June 25, 2025(3 citations)
Survey: January 16, 2025(30 citations)
Survey: August 22, 2024(6 citations)
Survey: June 10, 2024(6 citations)
Survey: April 25, 2024(6 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
19.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
N/A
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.2 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
31.0 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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