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
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
16 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 1m
CNA hrs/day
2h 17m
Total Nurse / Resident / Day
3h 35m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
64 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
26 min
RN Hours Weekend
18 min
Weekend vs. Weekday RN
71%above avg
US avg: 64%
Total Nurse Weekend
4h 23m
Federal Penalties
2 penalties · $41,098 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/29/2023 | Fine | $41,098 | - |
| 9/29/2023 | Payment Denial | - | 22 |
Inspection Citations
Survey: August 29, 2025(1 citation)
30-Day Readmission
25.9 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
10.6 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
20/100
Incentive Payment
-1.77% penalty
Risk-Std Readmission
19.7 per 100
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
75
Avg Length of Stay
34.7 days
Avg Payment / Stay
$18,767.08
Patient Complexity
2.87 × 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: May 2, 2025(1 citation)
Survey: January 13, 2025(9 citations)
Survey: September 29, 2023(16 citations)
Survey: June 7, 2022(7 citations)
Falls w/ Major Injury
3.8 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
4.0 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.6 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
32.3 per 100
State avg: 80.1 · 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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