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
4/5
📊 Quality Measures
4/5
RN / Resident / Day
45 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h 1m
CNA hrs/day
2h 5m
Total Nurse / Resident / Day
3h 51m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
34 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
60 min
RN Hours Weekend
35 min
Weekend vs. Weekday RN
58%≈ avg
US avg: 64%
Total Nurse Weekend
3h 50m
Federal Penalties
2 penalties · $19,937 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 4/11/2025 | Fine | $9,113 | - |
| 12/2/2024 | Fine | $10,824 | - |
Inspection Citations
Survey: February 19, 2025(18 citations)
30-Day Readmission
25.1 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
10.4 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
25/100
Incentive Payment
-1.63% penalty
Risk-Std Readmission
21.9 per 100
Healthcare-Assoc. Infections
8.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
N/A
Avg Length of Stay
N/A
Avg Payment / Stay
N/A
Patient Complexity
N/A
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: December 2, 2024(4 citations)
Survey: February 23, 2024(10 citations)
Survey: February 21, 2023(2 citations)
Survey: September 26, 2022(4 citations)
Falls w/ Major Injury
2.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.3 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
98.0 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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