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
2/5
📊 Quality Measures
3/5
RN / Resident / Day
23 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
60 min
CNA hrs/day
2h 2m
Total Nurse / Resident / Day
3h 25m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
66 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
32 min
RN Hours Weekend
24 min
Weekend vs. Weekday RN
73%above avg
US avg: 64%
Total Nurse Weekend
4h 3m
Federal Penalties
3 penalties · $54,532 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/13/2025 | Fine | $42,484 | - |
| 11/17/2023 | Fine | $12,048 | - |
| 11/17/2023 | Payment Denial | - | 72 |
| 3/29/2023 | Fine | $185,567 | - |
| 3/29/2023 | Payment Denial | - |
30-Day Readmission
10.8 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
13.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
32/100
Incentive Payment
-1.30% penalty
Risk-Std Readmission
20.0 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
69
Avg Length of Stay
24.6 days
Avg Payment / Stay
$10,193.06
Patient Complexity
2.74 × 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)
| 82 |
Inspection Citations
Survey: August 8, 2025(7 citations)
Survey: April 3, 2025(1 citation)
Survey: February 13, 2025(4 citations)
Survey: November 1, 2024(10 citations)
Survey: February 15, 2024(6 citations)
+ 7 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
43.5 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
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