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
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
4/5
📊 Quality Measures
1/5
RN / Resident / Day
46 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
50 min
CNA hrs/day
2h 8m
Total Nurse / Resident / Day
3h 44m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
53 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
43 min
RN Hours Weekend
32 min
Weekend vs. Weekday RN
74%above avg
US avg: 64%
Total Nurse Weekend
3h 32m
Federal Penalties
4 penalties · $109,173 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 12/30/2024 | Fine | $16,675 | - |
| 5/29/2024 | Payment Denial | - | 21 |
| 5/21/2024 | Payment Denial | - | 15 |
| 5/21/2024 | Fine | $92,498 | - |
Inspection Citations
30-Day Readmission
31.4 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
0.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
19/100
Incentive Payment
-1.79% penalty
Risk-Std Readmission
20.3 per 100
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
65
Avg Length of Stay
27.9 days
Avg Payment / Stay
$12,280.2
Patient Complexity
2.11 × 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: April 16, 2025(2 citations)
Survey: March 21, 2025(16 citations)
Survey: December 30, 2024(1 citation)
Survey: May 21, 2024(15 citations)
Survey: January 22, 2024(2 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
5.1 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.6 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
16.7 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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