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
3/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
40 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 13m
CNA hrs/day
1h 49m
Total Nurse / Resident / Day
3h 42m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
37 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
34 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
64%≈ avg
US avg: 64%
Total Nurse Weekend
3h 7m
Federal Penalties
18 penalties · $136,440 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 |
30-Day Readmission
11.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
40/100
Incentive Payment
-0.72% penalty
Risk-Std Readmission
19.8 per 100
Healthcare-Assoc. Infections
6.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
67
Avg Length of Stay
29.2 days
Avg Payment / Stay
$12,759.42
Patient Complexity
2.14 × 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)
| - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 3/8/2024 | Fine | $12,015 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
| 9/11/2023 | Fine | $3,145 | - |
Inspection Citations
Survey: January 9, 2025(24 citations)
Survey: August 15, 2024(6 citations)
Survey: April 10, 2024(12 citations)
Survey: March 8, 2024(12 citations)
Survey: January 22, 2024(3 citations)
+ 1 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
9.8 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
88.0 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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