CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
22 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h 23m
CNA hrs/day
2h 11m
Total Nurse / Resident / Day
3h 56m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
42 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
33 min
RN Hours Weekend
21 min
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 55m
Federal Penalties
3 penalties · $46,999 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 5/23/2025 | Fine | $17,760 | - |
| 2/10/2025 | Fine | $12,438 | - |
| 5/1/2024 | Fine | $16,801 | - |
| 6/8/2023 | Fine | $93,262 | - |
Inspection Citations
30-Day Readmission
23.9 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
10.1 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
53/100
Incentive Payment
+0.73% bonus
Risk-Std Readmission
18.5 per 100
Healthcare-Assoc. Infections
5.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
85
Avg Length of Stay
23.5 days
Avg Payment / Stay
$12,656.52
Patient Complexity
2.67 × 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)
Survey: May 23, 2025(20 citations)
Survey: February 10, 2025(6 citations)
Survey: May 1, 2024(17 citations)
Survey: June 8, 2023(24 citations)
Falls w/ Major Injury
4.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.5 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
40.0 per 100
State avg: 83.1 · 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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