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
3/5
📊 Quality Measures
3/5
RN / Resident / Day
43 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
41 min
CNA hrs/day
2h 2m
Total Nurse / Resident / Day
3h 26m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
49 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
46 min
RN Hours Weekend
22 min
Weekend vs. Weekday RN
48%below avg
US avg: 64%
Total Nurse Weekend
3h 33m
Federal Penalties
11 penalties · $45,593 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 3/21/2024 | Fine | $8,400 | - |
| 3/21/2024 | Fine | $8,401 | - |
| 11/20/2023 | Fine | $4,634 | - |
| 11/13/2023 | Fine | $4,286 | - |
| 11/6/2023 | Fine | $3,937 |
30-Day Readmission
32.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
4.3 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
28/100
Incentive Payment
-1.54% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
6.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
24
Avg Length of Stay
22.1 days
Avg Payment / Stay
$9,957.97
Patient Complexity
1.90 × 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)
| - |
| 10/30/2023 | Fine | $3,587 | - |
| 10/17/2023 | Fine | $2,823 | - |
| 10/10/2023 | Fine | $2,470 | - |
| 10/2/2023 | Fine | $2,117 | - |
| 9/25/2023 | Fine | $1,764 | - |
| 9/5/2023 | Fine | $3,174 | - |
Inspection Citations
Survey: August 22, 2025(21 citations)
Survey: June 18, 2025(3 citations)
Survey: May 16, 2025(2 citations)
Survey: September 25, 2024(1 citation)
Survey: September 13, 2024(20 citations)
+ 9 more survey(s) not shown in snapshot
Falls w/ Major Injury
5.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
11.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
2.6 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
55.0 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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