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
4/5
🔍 Health Inspection
3/5
👩⚕️ Staffing
5/5
📊 Quality Measures
4/5
RN / Resident / Day
57 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
49 min
CNA hrs/day
2h 31m
Total Nurse / Resident / Day
4h 17m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
3 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
45 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 30m
RN Hours Weekend
1h 4m
Weekend vs. Weekday RN
71%≈ avg
US avg: 64%
Total Nurse Weekend
6h
Federal Penalties
3 penalties · $33,293 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/19/2024 | Fine | $12,924 | - |
| 9/19/2024 | Fine | $12,923 | - |
| 10/12/2023 | Fine | $7,446 | - |
Inspection Citations
Survey: December 23, 2024(1 citation)
30-Day Readmission
24.1 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
6.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
62/100
Incentive Payment
+1.70% bonus
Risk-Std Readmission
18.5 per 100
Healthcare-Assoc. Infections
5.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
47
Avg Length of Stay
25.3 days
Avg Payment / Stay
$11,671.66
Patient Complexity
2.66 × 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: November 8, 2024(4 citations)
Survey: September 19, 2024(3 citations)
Survey: March 26, 2024(1 citation)
Survey: November 3, 2023(3 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.8 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.2 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.1 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
19.4 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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