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
1/5
📊 Quality Measures
1/5
RN / Resident / Day
21 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 1m
CNA hrs/day
1h 51m
Total Nurse / Resident / Day
3h 13m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
4 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
59 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 23m
Federal Penalties
2 penalties · $20,004 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 6/26/2025 | Fine | $11,180 | - |
| 4/11/2024 | Fine | $8,824 | - |
Inspection Citations
Survey: June 26, 2025(18 citations)
30-Day Readmission
23.8 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
19.1 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
14/100
Incentive Payment
-1.87% penalty
Risk-Std Readmission
20.7 per 100
Healthcare-Assoc. Infections
9.8 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
64
Avg Length of Stay
20.6 days
Avg Payment / Stay
$10,848.54
Patient Complexity
3.22 × 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: July 18, 2024(21 citations)
Survey: May 8, 2024(1 citation)
Survey: April 11, 2024(1 citation)
Survey: August 31, 2023(19 citations)
Falls w/ Major Injury
4.8 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
3.4 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
60.3 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
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.