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
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
4/5
📊 Quality Measures
3/5
RN / Resident / Day
43 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
49 min
CNA hrs/day
2h 34m
Total Nurse / Resident / Day
4h 6m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
47 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
55 min
RN Hours Weekend
42 min
Weekend vs. Weekday RN
76%above avg
US avg: 64%
Total Nurse Weekend
3h 19m
Federal Penalties
1 penalty · $11,200 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 5/8/2025 | Fine | $11,200 | - |
Inspection Citations
Survey: December 2, 2025(15 citations)
30-Day Readmission
20.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
10.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
47/100
Incentive Payment
+0.10% bonus
Risk-Std Readmission
17.8 per 100
Healthcare-Assoc. Infections
5.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
63
Avg Length of Stay
16.4 days
Avg Payment / Stay
$7,679.05
Patient Complexity
2.03 × 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: May 23, 2025(3 citations)
Survey: May 8, 2025(1 citation)
Survey: November 22, 2024(15 citations)
Survey: March 20, 2024(2 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
4.3 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
2.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
87.2 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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