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
2/5
👩⚕️ Staffing
5/5
📊 Quality Measures
2/5
RN / Resident / Day
1h 6m
State avg: 47 min · US avg: 41 min
LPN hrs/day
1h 4m
CNA hrs/day
2h 19m
Total Nurse / Resident / Day
4h 29m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
8 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
37 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 11m
RN Hours Weekend
54 min
Weekend vs. Weekday RN
76%above avg
US avg: 64%
Total Nurse Weekend
4h 26m
Federal Penalties
2 penalties · $6,631 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/22/2023 | Payment Denial | - | 50 |
| 11/22/2023 | Fine | $6,631 | - |
Inspection Citations
Survey: May 30, 2025(4 citations)
30-Day Readmission
22.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
18.9 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
52/100
Incentive Payment
+0.65% bonus
Risk-Std Readmission
19.0 per 100
Healthcare-Assoc. Infections
6.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
24
Avg Length of Stay
28.6 days
Avg Payment / Stay
$11,642.83
Patient Complexity
2.05 × 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: June 18, 2024(6 citations)
Survey: February 28, 2024(2 citations)
Survey: November 22, 2023(2 citations)
Survey: July 7, 2023(6 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
0.0 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
5.0 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
51.3 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
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