CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
5/5
📊 Quality Measures
1/5
RN / Resident / Day
53 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 1m
CNA hrs/day
2h 11m
Total Nurse / Resident / Day
4h 4m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
25 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
53 min
RN Hours Weekend
39 min
Weekend vs. Weekday RN
74%above avg
US avg: 64%
Total Nurse Weekend
3h 15m
Federal Penalties
17 penalties · $93,143 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/20/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/6/2024 | Payment Denial | - | 28 |
| 1/22/2024 | Fine | $14,814 | - |
| 1/8/2024 | Fine | $4,938 |
30-Day Readmission
32.3 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
11.9 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
7/100
Incentive Payment
-1.94% penalty
Risk-Std Readmission
22.1 per 100
Healthcare-Assoc. Infections
8.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
88
Avg Length of Stay
29.4 days
Avg Payment / Stay
$17,596.8
Patient Complexity
4.08 × 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)
| - |
| 1/2/2024 | Fine | $4,587 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 11/20/2023 | Fine | $4,587 | - |
| 11/13/2023 | Fine | $4,587 | - |
| 11/6/2023 | Fine | $4,587 | - |
| 10/30/2023 | Fine | $4,587 | - |
| 10/23/2023 | Fine | $4,587 | - |
| 10/17/2023 | Fine | $4,235 | - |
| 10/10/2023 | Fine | $3,882 | - |
| 9/18/2023 | Fine | $9,527 | - |
| 8/14/2023 | Fine | $2,470 | - |
| 8/7/2023 | Fine | $2,117 | - |
| 7/17/2023 | Fine | $4,233 | - |
| 3/21/2023 | Fine | $9,948 | - |
Inspection Citations
Survey: March 27, 2025(7 citations)
Survey: February 6, 2024(27 citations)
Survey: March 21, 2023(2 citations)
Falls w/ Major Injury
0.9 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
5.8 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
66.3 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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