CMS Stars
RN hrs / day
Trust Index
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
3/5
📊 Quality Measures
4/5
RN / Resident / Day
32 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 7m
CNA hrs/day
1h 41m
Total Nurse / Resident / Day
3h 20m
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
36 min
RN Hours Weekend
26 min
Weekend vs. Weekday RN
74%above avg
US avg: 64%
Total Nurse Weekend
3h 10m
Federal Penalties
2 penalties · $26,685 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/10/2025 | Fine | $13,342 | - |
| 6/10/2025 | Fine | $13,343 | - |
| 4/20/2023 | Fine | $66,925 | - |
Inspection Citations
Survey: August 18, 2025(3 citations)
30-Day Readmission
N/A
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 9.8 · US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
28/100
Incentive Payment
-1.53% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
27
Avg Length of Stay
17.2 days
Avg Payment / Stay
$8,168.73
Patient Complexity
3.08 × 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: July 1, 2025(3 citations)
Survey: June 10, 2025(5 citations)
Survey: March 5, 2025(2 citations)
Survey: February 6, 2025(2 citations)
+ 10 more survey(s) not shown in snapshot
3.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.8 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
2.7 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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