CMS Stars
RN hrs / day
Trust Index
Long-stay residents, lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
1/5
🔍 Health Inspection
1/5
👩⚕️ Staffing
3/5
📊 Quality Measures
4/5
RN / Resident / Day
1h
State avg: 47 min · US avg: 41 min
LPN hrs/day
35 min
CNA hrs/day
1h 41m
Total Nurse / Resident / Day
3h 17m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
1 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 4m
RN Hours Weekend
55 min
Weekend vs. Weekday RN
86%above avg
US avg: 64%
Total Nurse Weekend
4h 2m
Federal Penalties
4 penalties · $138,400 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 2/27/2025 | Fine | $27,950 | - |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Fine | $57,882 | - |
| 11/6/2023 | Fine | $52,568 | - |
Inspection Citations
30-Day Readmission
N/A
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
N/A
State avg: 9.8 · US avg: 12.0
Falls w/ Major Injury
VBP Performance Score
19/100
Incentive Payment
-1.80% penalty
Risk-Std Readmission
N/A
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
26
Avg Length of Stay
18.8 days
Avg Payment / Stay
$9,199.27
Patient Complexity
3.60 × 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 28, 2025(2 citations)
Survey: February 27, 2025(3 citations)
Survey: December 30, 2024(1 citation)
Survey: November 27, 2024(4 citations)
Survey: October 25, 2024(8 citations)
+ 3 more survey(s) not shown in snapshot
2.2 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
4.3 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
N/A
State avg: 1.5 · US avg: 1.6
Flu Vaccination
N/A
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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