CMS Stars
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
1/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
1/5
📊 Quality Measures
4/5
RN / Resident / Day
N/A
State avg: 41 min · US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
N/A
Total Nurse / Resident / Day
N/A
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
N/A
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
35 min
RN Hours Weekend
31 min
Weekend vs. Weekday RN
88%above avg
US avg: 64%
Total Nurse Weekend
3h 38m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: October 31, 2025(1 citation)
Survey: June 19, 2025(2 citations)
30-Day Readmission
25.4 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
6.8 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
46/100
Incentive Payment
-0.10% penalty
Risk-Std Readmission
20.6 per 100
Healthcare-Assoc. Infections
7.0 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
70
Avg Length of Stay
48.2 days
Avg Payment / Stay
$28,285.67
Patient Complexity
2.95 × 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: March 27, 2024(12 citations)
Survey: September 15, 2023(8 citations)
Survey: April 19, 2023(1 citation)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.0 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
7.4 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
71.1 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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