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
19 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 1m
CNA hrs/day
2h 3m
Total Nurse / Resident / Day
3h 23m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
41 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
24 min
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 50m
Federal Penalties
2 penalties · $171,403 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/20/2024 | Payment Denial | - | 39 |
| 3/20/2024 | Fine | $171,403 | - |
| 5/12/2023 | Fine | $8,190 | - |
Inspection Citations
Survey: March 27, 2025(2 citations)
30-Day Readmission
20.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
10.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
49/100
Incentive Payment
+0.34% bonus
Risk-Std Readmission
18.8 per 100
Healthcare-Assoc. Infections
5.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
131
Avg Length of Stay
16.5 days
Avg Payment / Stay
$8,517.04
Patient Complexity
2.95 × 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: February 7, 2025(6 citations)
Survey: January 3, 2025(1 citation)
Survey: July 10, 2024(5 citations)
Survey: May 31, 2024(6 citations)
+ 7 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
3.9 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
94.2 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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