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 10m
CNA hrs/day
2h 14m
Total Nurse / Resident / Day
3h 40m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
76 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
30 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
73%above avg
US avg: 64%
Total Nurse Weekend
4h 54m
Federal Penalties
1 penalty · $14,131 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/9/2024 | Fine | $14,131 | - |
| 5/10/2023 | Fine | $23,989 | - |
Inspection Citations
Survey: June 13, 2025(6 citations)
30-Day Readmission
27.1 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
8.1 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
26/100
Incentive Payment
-1.59% penalty
Risk-Std Readmission
20.6 per 100
Healthcare-Assoc. Infections
6.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
166
Avg Length of Stay
23.7 days
Avg Payment / Stay
$15,054.63
Patient Complexity
2.90 × 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: April 24, 2025(2 citations)
Survey: December 23, 2024(1 citation)
Survey: February 9, 2024(11 citations)
Survey: May 10, 2023(8 citations)
Falls w/ Major Injury
2.9 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
9.9 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.8 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
43.3 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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