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
1/5
👩⚕️ Staffing
3/5
📊 Quality Measures
5/5
RN / Resident / Day
28 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
47 min
CNA hrs/day
2h 1m
Total Nurse / Resident / Day
3h 15m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
33 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
25 min
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
3h 56m
Federal Penalties
2 penalties · $45,678 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/10/2025 | Fine | $15,940 | - |
| 5/10/2024 | Fine | $29,738 | - |
| 7/14/2023 | Fine | $11,180 | - |
| 7/14/2023 | Payment Denial | - | 25 |
Inspection Citations
30-Day Readmission
8.0 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
47/100
Incentive Payment
+0.05% bonus
Risk-Std Readmission
19.5 per 100
Healthcare-Assoc. Infections
6.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
49
Avg Length of Stay
16.9 days
Avg Payment / Stay
$8,533.32
Patient Complexity
3.12 × 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: November 18, 2025(2 citations)
Survey: October 17, 2025(2 citations)
Survey: September 10, 2025(1 citation)
Survey: April 11, 2025(12 citations)
Survey: May 10, 2024(11 citations)
+ 4 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
60.5 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
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.