CMS Stars
RN hrs / day
Trust Index
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
4/5
RN / Resident / Day
1h 25m
State avg: 47 min · US avg: 41 min
LPN hrs/day
54 min
CNA hrs/day
2h 23m
Total Nurse / Resident / Day
4h 42m
State avg: 3h 54m · US avg: 3h 53m
PT / Resident / Day
2 min
State avg: 6 min · US avg: 4 min
RN Turnover Rate
49 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 40m
RN Hours Weekend
1h
Weekend vs. Weekday RN
60%≈ avg
US avg: 64%
Total Nurse Weekend
5h 53m
Federal Penalties
1 penalty · $245,564 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/28/2023 | Fine | $245,564 | - |
Inspection Citations
Survey: April 25, 2025(16 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
N/A
Incentive Payment
N/A
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
N/A
Avg Length of Stay
N/A
Avg Payment / Stay
N/A
Patient Complexity
N/A
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: May 10, 2024(6 citations)
Survey: January 6, 2024(3 citations)
Survey: November 28, 2023(3 citations)
Survey: June 30, 2023(2 citations)
3.5 per 100
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
7.7 per 100
State avg: 5.3 · US avg: 5.1
Antipsychotic Meds
4.0 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
92.9 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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