CMS Stars
RN hrs / day
Trust Index
Bounce-back
Long-stay residents , lower is better
Source: CMS MDS Quality Measures. Updated quarterly.
⭐ Overall
4/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
3/5
📊 Quality Measures
3/5
RN / Resident / Day
1h 4m
State avg: 47 min · US avg: 41 min
LPN hrs/day
52 min
CNA hrs/day
2h 29m
Total Nurse / Resident / Day
4h 25m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 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 36m
RN Hours Weekend
1h 18m
Weekend vs. Weekday RN
82%above avg
US avg: 64%
Total Nurse Weekend
4h 45m
Federal Penalties
9 penalties · $37,746 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 |
30-Day Readmission
31.0 per 100
State avg: 23.1 · US avg: 23.9
ED Visits (no readmit)
7.0 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
30/100
Incentive Payment
-1.45% penalty
Risk-Std Readmission
23.0 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
73
Avg Length of Stay
19.8 days
Avg Payment / Stay
$10,496.82
Patient Complexity
2.62 × 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)
| - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 10/17/2023 | Fine | $4,194 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $7,443 | - |
| 4/24/2023 | Fine | $9,770 | - |
Inspection Citations
Survey: September 2, 2025(3 citations)
Survey: June 25, 2025(3 citations)
Survey: June 4, 2025(3 citations)
Survey: December 19, 2024(6 citations)
Survey: March 1, 2024(15 citations)
+ 2 more survey(s) not shown in snapshot
Falls w/ Major Injury
1.4 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
8.4 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
4.7 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
55.8 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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