CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
4/5
📊 Quality Measures
2/5
RN / Resident / Day
36 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h 7m
CNA hrs/day
2h 19m
Total Nurse / Resident / Day
4h 1m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
48 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
44 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
52%below avg
US avg: 64%
Total Nurse Weekend
3h 39m
Federal Penalties
1 penalty · $62,618 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 8/9/2024 | Fine | $62,618 | - |
Inspection Citations
Survey: October 22, 2025(2 citations)
30-Day Readmission
25.9 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
13.1 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
20/100
Incentive Payment
-1.77% penalty
Risk-Std Readmission
23.1 per 100
Healthcare-Assoc. Infections
9.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
168
Avg Length of Stay
21.0 days
Avg Payment / Stay
$11,100.85
Patient Complexity
2.39 × 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: July 31, 2025(7 citations)
Survey: August 9, 2024(19 citations)
Survey: June 6, 2023(11 citations)
Falls w/ Major Injury
6.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.0 per 100
State avg: 4.4 · US avg: 5.1
Antipsychotic Meds
2.3 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
74.0 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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