CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
2/5
🔍 Health Inspection
2/5
👩⚕️ Staffing
3/5
📊 Quality Measures
4/5
RN / Resident / Day
57 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
42 min
CNA hrs/day
1h 49m
Total Nurse / Resident / Day
3h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
7 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
57 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
54 min
RN Hours Weekend
45 min
Weekend vs. Weekday RN
84%above avg
US avg: 64%
Total Nurse Weekend
3h 10m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: September 12, 2025(13 citations)
30-Day Readmission
13.9 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
8.6 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.44% penalty
Risk-Std Readmission
20.6 per 100
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
43
Avg Length of Stay
21.0 days
Avg Payment / Stay
$8,816.66
Patient Complexity
1.84 × 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: October 16, 2024(8 citations)
Survey: November 2, 2023(11 citations)
Falls w/ Major Injury
1.6 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
6.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
1.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
58.1 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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