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
3/5
📊 Quality Measures
3/5
RN / Resident / Day
30 min
State avg: 1h 2m · US avg: 41 min
LPN hrs/day
60 min
CNA hrs/day
2h 10m
Total Nurse / Resident / Day
3h 40m
State avg: 4h 30m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 9 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
43 min
RN Hours Weekend
25 min
Weekend vs. Weekday RN
57%below avg
US avg: 64%
Total Nurse Weekend
4h 3m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 2, 2025(5 citations)
30-Day Readmission
23.8 per 100
State avg: 21.5 · US avg: 23.9
ED Visits (no readmit)
15.0 per 100
State avg: 11.2 · US avg: 12.0
VBP Performance Score
20/100
Incentive Payment
-1.78% penalty
Risk-Std Readmission
20.8 per 100
Healthcare-Assoc. Infections
8.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
246
Avg Length of Stay
22.3 days
Avg Payment / Stay
$11,481.58
Patient Complexity
2.88 × 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 18, 2024(25 citations)
Survey: June 10, 2024(2 citations)
Survey: November 16, 2023(4 citations)
Survey: July 14, 2023(22 citations)
Falls w/ Major Injury
0.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.4 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
86.9 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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