CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
5/5
📊 Quality Measures
2/5
RN / Resident / Day
1h 1m
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 3m
CNA hrs/day
2h 53m
Total Nurse / Resident / Day
4h 57m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
42 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 17m
RN Hours Weekend
50 min
Weekend vs. Weekday RN
65%≈ avg
US avg: 64%
Total Nurse Weekend
3h 53m
Federal Penalties
1 penalty · $12,335 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 12/6/2024 | Fine | $12,335 | - |
Inspection Citations
Survey: December 6, 2024(2 citations)
30-Day Readmission
13.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
21.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
63/100
Incentive Payment
+1.76% bonus
Risk-Std Readmission
17.3 per 100
Healthcare-Assoc. Infections
5.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
50
Avg Length of Stay
32.9 days
Avg Payment / Stay
$13,691.46
Patient Complexity
2.50 × 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: January 5, 2024(7 citations)
Survey: February 16, 2023(3 citations)
Falls w/ Major Injury
6.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.6 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
81.8 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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