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
2/5
RN / Resident / Day
35 min
State avg: 47 min · US avg: 41 min
LPN hrs/day
57 min
CNA hrs/day
1h 55m
Total Nurse / Resident / Day
3h 27m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
5 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
71 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
58 min
RN Hours Weekend
37 min
Weekend vs. Weekday RN
63%≈ avg
US avg: 64%
Total Nurse Weekend
4h 5m
Federal Penalties
7 penalties · $78,696 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 5/9/2025 | Fine | $22,489 | - |
| 5/9/2025 | Payment Denial | - | 6 |
| 10/29/2024 | Fine | $12,335 | - |
| 8/1/2024 | Fine | $36,817 | - |
| 10/2/2023 | Fine | $2,117 |
30-Day Readmission
25.6 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
15.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
23/100
Incentive Payment
-1.70% penalty
Risk-Std Readmission
24.5 per 100
Healthcare-Assoc. Infections
5.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
32
Avg Length of Stay
17.8 days
Avg Payment / Stay
$8,211.78
Patient Complexity
2.94 × 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)
| - |
| 9/25/2023 | Fine | $1,764 | - |
| 9/5/2023 | Fine | $3,174 | - |
| 3/21/2023 | Fine | $7,443 | - |
| 3/21/2023 | Fine | $8,190 | - |
Inspection Citations
Survey: November 15, 2025(11 citations)
Survey: August 4, 2025(1 citation)
Survey: May 9, 2025(3 citations)
Survey: March 14, 2025(32 citations)
Survey: February 14, 2025(1 citation)
+ 14 more survey(s) not shown in snapshot
Falls w/ Major Injury
3.9 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.1 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
0.9 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
56.5 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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