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
2/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
1/5
📊 Quality Measures
5/5
RN / Resident / Day
25 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
53 min
CNA hrs/day
1h 57m
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
51 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
34 min
RN Hours Weekend
33 min
Weekend vs. Weekday RN
97%above avg
US avg: 64%
Total Nurse Weekend
4h 12m
Federal Penalties
3 penalties · $85,005 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/30/2024 | Fine | $67,850 | - |
| 4/8/2024 | Fine | $8,167 | - |
| 4/8/2024 | Fine | $8,988 | - |
| 1/26/2023 | Fine | $12,600 | - |
Inspection Citations
30-Day Readmission
22.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
12.2 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
33/100
Incentive Payment
-1.28% penalty
Risk-Std Readmission
18.3 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
117
Avg Length of Stay
23.6 days
Avg Payment / Stay
$12,784.35
Patient Complexity
2.46 × 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: September 11, 2025(1 citation)
Survey: August 4, 2025(1 citation)
Survey: June 4, 2025(2 citations)
Survey: April 24, 2025(1 citation)
Survey: November 21, 2024(15 citations)
+ 10 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.9 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
54.6 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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