CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
2/5
📊 Quality Measures
3/5
RN / Resident / Day
27 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
50 min
CNA hrs/day
2h 4m
Total Nurse / Resident / Day
3h 21m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
40 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
32 min
RN Hours Weekend
20 min
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Total Nurse Weekend
2h 58m
Federal Penalties
No federal penalties in the past 3 years.
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/24/2023 | Fine | $5,887 | - |
| 6/24/2023 | Fine | $13,720 | - |
| 3/1/2023 | Fine | $13,780 | - |
Inspection Citations
Survey: September 17, 2025(2 citations)
30-Day Readmission
25.0 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
8.4 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
26/100
Incentive Payment
-1.61% penalty
Risk-Std Readmission
21.4 per 100
Healthcare-Assoc. Infections
7.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
194
Avg Length of Stay
22.1 days
Avg Payment / Stay
$13,687.68
Patient Complexity
4.49 × 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: August 26, 2025(1 citation)
Survey: August 11, 2025(2 citations)
Survey: April 24, 2025(12 citations)
Survey: January 24, 2025(1 citation)
+ 12 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.2 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
36.4 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
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