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
3/5
👩⚕️ Staffing
4/5
📊 Quality Measures
4/5
RN / Resident / Day
20 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 5m
CNA hrs/day
2h 10m
Total Nurse / Resident / Day
3h 35m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
42 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
37 min
RN Hours Weekend
15 min
Weekend vs. Weekday RN
40%well below avg
US avg: 64%
Total Nurse Weekend
3h 5m
Federal Penalties
9 penalties · $751,104 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 |
30-Day Readmission
34.9 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
12.2 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
40/100
Incentive Payment
-0.73% penalty
Risk-Std Readmission
22.9 per 100
Healthcare-Assoc. Infections
6.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
46
Avg Length of Stay
41.6 days
Avg Payment / Stay
$23,025.46
Patient Complexity
3.32 × 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)
| - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 10/8/2024 | Fine | $83,456 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
| 2/5/2023 | Fine | $9,750 | - |
Inspection Citations
Survey: October 8, 2024(21 citations)
Survey: September 1, 2023(12 citations)
Survey: February 5, 2023(3 citations)
Falls w/ Major Injury
2.5 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
4.4 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
N/A
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
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.