CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
4/5
RN / Resident / Day
35 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
1h 7m
CNA hrs/day
2h 5m
Total Nurse / Resident / Day
3h 47m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
67 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
47 min
RN Hours Weekend
45 min
Weekend vs. Weekday RN
96%above avg
US avg: 64%
Total Nurse Weekend
4h 9m
Federal Penalties
4 penalties · $484,596 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/10/2024 | Payment Denial | - | 64 |
| 9/10/2024 | Fine | $221,208 | - |
| 9/25/2023 | Fine | $263,388 | - |
| 9/25/2023 | Payment Denial | - | 114 |
Inspection Citations
30-Day Readmission
22.2 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
7.5 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
17/100
Incentive Payment
-1.82% penalty
Risk-Std Readmission
19.7 per 100
Healthcare-Assoc. Infections
8.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
284
Avg Length of Stay
28.4 days
Avg Payment / Stay
$15,164.81
Patient Complexity
3.04 × 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: August 13, 2025(4 citations)
Survey: September 10, 2024(36 citations)
Survey: September 25, 2023(47 citations)
Survey: April 13, 2023(2 citations)
Survey: May 12, 2022(8 citations)
Falls w/ Major Injury
2.0 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
1.6 per 100
State avg: 0.9 · US avg: 1.6
Flu Vaccination
75.4 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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