CMS Stars
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
1/5
📊 Quality Measures
2/5
RN / Resident / Day
N/A
State avg: 47 min · US avg: 41 min
LPN hrs/day
N/A
CNA hrs/day
N/A
Total Nurse / Resident / Day
N/A
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
N/A
State avg: 6 min · US avg: 4 min
RN Turnover Rate
44 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 4m
RN Hours Weekend
35 min
Weekend vs. Weekday RN
55%below avg
US avg: 64%
Total Nurse Weekend
3h 24m
Federal Penalties
1 penalty · $18,837 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 8/22/2024 | Fine | $18,837 | - |
Inspection Citations
Survey: September 18, 2025(3 citations)
30-Day Readmission
16.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
16.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
36/100
Incentive Payment
-1.01% penalty
Risk-Std Readmission
18.4 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
57
Avg Length of Stay
24.2 days
Avg Payment / Stay
$10,118.41
Patient Complexity
2.06 × 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: October 24, 2024(1 citation)
Survey: August 22, 2024(2 citations)
Survey: November 15, 2023(11 citations)
Survey: June 14, 2023(2 citations)
Falls w/ Major Injury
8.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.2 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
87.4 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
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.