CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
3/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
2/5
📊 Quality Measures
5/5
RN / Resident / Day
33 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 5m
CNA hrs/day
2h 49m
Total Nurse / Resident / Day
4h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
80 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
39 min
RN Hours Weekend
24 min
Weekend vs. Weekday RN
61%≈ avg
US avg: 64%
Total Nurse Weekend
4h 37m
Federal Penalties
2 penalties · $25,847 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 9/30/2024 | Fine | $12,923 | - |
| 9/30/2024 | Fine | $12,924 | - |
| 6/12/2023 | Fine | $9,315 | - |
Inspection Citations
Survey: July 1, 2025(2 citations)
30-Day Readmission
16.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
9.5 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
18/100
Incentive Payment
-1.82% penalty
Risk-Std Readmission
19.8 per 100
Healthcare-Assoc. Infections
9.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
54
Avg Length of Stay
21.7 days
Avg Payment / Stay
$12,183.52
Patient Complexity
2.63 × 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 21, 2025(10 citations)
Survey: December 5, 2024(1 citation)
Survey: September 19, 2024(1 citation)
Survey: April 5, 2024(7 citations)
+ 3 more survey(s) not shown in snapshot
Falls w/ Major Injury
2.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.5 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.8 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
31.1 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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