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
2/5
📊 Quality Measures
3/5
RN / Resident / Day
47 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
45 min
CNA hrs/day
1h 45m
Total Nurse / Resident / Day
3h 17m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
6 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
63 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 2m
RN Hours Weekend
31 min
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
3h 29m
Federal Penalties
1 penalty · $10,248 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/11/2024 | Fine | $10,248 | - |
| 4/28/2023 | Fine | $9,315 | - |
Inspection Citations
Survey: May 29, 2025(1 citation)
30-Day Readmission
21.2 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
14.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
21/100
Incentive Payment
-1.75% penalty
Risk-Std Readmission
19.0 per 100
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
118
Avg Length of Stay
19.5 days
Avg Payment / Stay
$9,117.18
Patient Complexity
2.85 × 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: April 18, 2025(22 citations)
Survey: December 19, 2024(4 citations)
Survey: October 11, 2024(1 citation)
Survey: July 9, 2024(1 citation)
+ 5 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
3.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
78.9 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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