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
1/5
👩⚕️ Staffing
4/5
📊 Quality Measures
5/5
RN / Resident / Day
55 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
45 min
CNA hrs/day
2h 6m
Total Nurse / Resident / Day
3h 45m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
45 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 10m
RN Hours Weekend
38 min
Weekend vs. Weekday RN
55%below avg
US avg: 64%
Total Nurse Weekend
3h 50m
Federal Penalties
3 penalties · $192,384 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/24/2024 | Fine | $33,933 | - |
| 9/7/2023 | Payment Denial | - | 3 |
| 9/7/2023 | Fine | $158,451 | - |
Inspection Citations
Survey: September 9, 2025(1 citation)
30-Day Readmission
12.0 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
7.8 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
18/100
Incentive Payment
-1.81% penalty
Risk-Std Readmission
24.0 per 100
Healthcare-Assoc. Infections
9.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
127
Avg Length of Stay
24.4 days
Avg Payment / Stay
$12,248.92
Patient Complexity
2.80 × 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: June 12, 2025(1 citation)
Survey: December 19, 2024(5 citations)
Survey: September 24, 2024(11 citations)
Survey: April 29, 2024(3 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.7 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.1 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
1.5 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
84.1 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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