CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
5/5
RN / Resident / Day
40 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
57 min
CNA hrs/day
1h 55m
Total Nurse / Resident / Day
3h 31m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
7 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
34 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
39 min
RN Hours Weekend
14 min
Weekend vs. Weekday RN
36%well below avg
US avg: 64%
Total Nurse Weekend
2h 46m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/2/2023 | Fine | $45,068 | - |
Inspection Citations
Survey: March 6, 2025(4 citations)
30-Day Readmission
18.2 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
8.5 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
49/100
Incentive Payment
+0.27% bonus
Risk-Std Readmission
18.3 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
238
Avg Length of Stay
22.6 days
Avg Payment / Stay
$12,794.38
Patient Complexity
2.80 × 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: December 12, 2024(3 citations)
Survey: June 14, 2024(3 citations)
Survey: June 1, 2023(5 citations)
Survey: February 2, 2023(7 citations)
Falls w/ Major Injury
2.5 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
8.3 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.4 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
64.2 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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