CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
No admissions contacts on file yet.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
40 min
State avg: 41 min · US avg: 41 min
LPN hrs/day
1h 28m
CNA hrs/day
3h 50m
Total Nurse / Resident / Day
5h 59m
State avg: 3h 51m · US avg: 3h 53m
PT / Resident / Day
15 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
32 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
35 min
RN Hours Weekend
18 min
Weekend vs. Weekday RN
50%below avg
US avg: 64%
Total Nurse Weekend
6h 3m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: August 21, 2025(13 citations)
30-Day Readmission
28.7 per 100
State avg: 25.4 · US avg: 23.9
ED Visits (no readmit)
11.1 per 100
State avg: 8.2 · US avg: 12.0
VBP Performance Score
38/100
Incentive Payment
-0.91% penalty
Risk-Std Readmission
24.7 per 100
Healthcare-Assoc. Infections
7.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
100
Avg Length of Stay
35.1 days
Avg Payment / Stay
$22,567.77
Patient Complexity
2.75 × 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 5, 2024(2 citations)
Survey: August 1, 2023(3 citations)
Falls w/ Major Injury
1.0 per 100
State avg: 2.4 · US avg: 3.3
Pressure Ulcers
6.0 per 100
State avg: 6.0 · US avg: 5.1
Antipsychotic Meds
4.4 per 100
State avg: 1.2 · US avg: 1.6
Flu Vaccination
35.1 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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