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
1/5
📊 Quality Measures
3/5
RN / Resident / Day
28 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
48 min
CNA hrs/day
2h 8m
Total Nurse / Resident / Day
3h 24m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
74 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
36 min
RN Hours Weekend
23 min
Weekend vs. Weekday RN
65%≈ avg
US avg: 64%
Total Nurse Weekend
4h 13m
Federal Penalties
5 penalties · $161,919 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/14/2025 | Fine | $66,593 | - |
| 12/6/2024 | Fine | $84,789 | - |
| 10/2/2023 | Fine | $2,823 | - |
| 9/25/2023 | Fine | $2,470 | - |
| 9/5/2023 | Fine | $5,244 |
30-Day Readmission
31.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
12.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
11/100
Incentive Payment
-1.90% penalty
Risk-Std Readmission
21.3 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
120
Avg Length of Stay
20.6 days
Avg Payment / Stay
$11,230.12
Patient Complexity
3.86 × 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)
| - |
| 6/23/2023 | Fine | $8,190 | - |
Inspection Citations
Survey: July 21, 2025(1 citation)
Survey: June 27, 2025(1 citation)
Survey: June 10, 2025(1 citation)
Survey: March 6, 2025(17 citations)
Survey: February 25, 2025(8 citations)
+ 21 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.3 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
48.3 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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