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
3/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
27 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 4m
CNA hrs/day
2h 7m
Total Nurse / Resident / Day
3h 38m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
9 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
48 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
30 min
RN Hours Weekend
21 min
Weekend vs. Weekday RN
70%≈ avg
US avg: 64%
Total Nurse Weekend
3h 7m
Federal Penalties
2 penalties · $26,685 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/6/2025 | Fine | $13,343 | - |
| 10/6/2025 | Fine | $13,342 | - |
Inspection Citations
Survey: June 5, 2025(7 citations)
30-Day Readmission
14.7 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
11.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
40/100
Incentive Payment
-0.66% penalty
Risk-Std Readmission
17.8 per 100
Healthcare-Assoc. Infections
7.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
80
Avg Length of Stay
23.1 days
Avg Payment / Stay
$12,239.25
Patient Complexity
2.31 × 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: March 10, 2025(1 citation)
Survey: July 3, 2024(7 citations)
Survey: August 10, 2023(9 citations)
Falls w/ Major Injury
3.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.7 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
89.4 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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