CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
39 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
1h 51m
Total Nurse / Resident / Day
3h 23m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
53 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
40 min
RN Hours Weekend
36 min
Weekend vs. Weekday RN
90%above avg
US avg: 64%
Total Nurse Weekend
4h 44m
Federal Penalties
2 penalties · $191,228 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/26/2024 | Fine | $107,690 | - |
| 10/20/2023 | Fine | $83,538 | - |
Inspection Citations
Survey: August 21, 2025(13 citations)
30-Day Readmission
13.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
13.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
22/100
Incentive Payment
-1.72% penalty
Risk-Std Readmission
21.6 per 100
Healthcare-Assoc. Infections
7.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
59
Avg Length of Stay
36.7 days
Avg Payment / Stay
$17,249.44
Patient Complexity
2.58 × 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: July 8, 2025(1 citation)
Survey: November 26, 2024(8 citations)
Survey: October 23, 2024(1 citation)
Survey: September 10, 2024(2 citations)
+ 5 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
15.3 per 100
State avg: 68.7 · 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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