CMS Stars
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
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
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
37 min
RN Hours Weekend
18 min
Weekend vs. Weekday RN
47%well below avg
US avg: 64%
Total Nurse Weekend
2h 20m
Federal Penalties
1 penalty · $11,193 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/31/2025 | Fine | $11,193 | - |
| 4/17/2023 | Fine | $4,587 | - |
| 3/20/2023 | Fine | $4,580 | - |
| 3/13/2023 | Fine | $4,580 | - |
| 3/6/2023 | Fine | $4,580 |
30-Day Readmission
31.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
20.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
12/100
Incentive Payment
-1.90% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
23
Avg Length of Stay
18.5 days
Avg Payment / Stay
$8,072.11
Patient Complexity
2.46 × 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)
| - |
| 2/28/2023 | Fine | $4,580 | - |
| 2/21/2023 | Fine | $4,545 | - |
| 2/13/2023 | Fine | $4,545 | - |
| 2/6/2023 | Fine | $4,580 | - |
| 1/30/2023 | Fine | $4,580 | - |
| 1/23/2023 | Fine | $4,580 | - |
Inspection Citations
Survey: November 12, 2025(1 citation)
Survey: July 31, 2025(3 citations)
Survey: June 13, 2025(2 citations)
Survey: May 6, 2025(1 citation)
Survey: March 31, 2025(11 citations)
+ 8 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.3 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.4 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
35.0 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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