7805 Birch St, Weston, WI 54476
CMS Stars
RN hrs / day
Trust Index
Bounce-back
No admissions contacts on file yet.
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
5/5
📊 Quality Measures
5/5
RN / Resident / Day
2h 33m
State avg: 58 min · US avg: 41 min
LPN hrs/day
19 min
CNA hrs/day
3h 36m
Total Nurse / Resident / Day
6h 28m
State avg: 4h 12m · US avg: 3h 53m
PT / Resident / Day
25 min
State avg: 4 min · US avg: 4 min
RN Turnover Rate
43 per 100
State avg: 48 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
2h 50m
RN Hours Weekend
2h 5m
Weekend vs. Weekday RN
73%above avg
US avg: 64%
Total Nurse Weekend
5h 18m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 16, 2025(5 citations)
Survey: May 8, 2024(3 citations)
30-Day Readmission
18.0 per 100
State avg: 22.7 · US avg: 23.9
ED Visits (no readmit)
20.0 per 100
State avg: 15.0 · US avg: 12.0
Falls w/ Major Injury
N/A
State avg: 3.2 · US avg: 3.3
Pressure Ulcers
N/A
State avg: 5.5 · US avg: 5.1
Antipsychotic Meds
0.2 per 100
State avg: 1.3 · US avg: 1.6
Flu Vaccination
96.6 per 100
State avg: 82.2 · 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
VBP Performance Score
54/100
Incentive Payment
+0.91% bonus
Risk-Std Readmission
20.5 per 100
Healthcare-Assoc. Infections
5.5 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
116
Avg Length of Stay
18.4 days
Avg Payment / Stay
$9,771.4
Patient Complexity
1.72 × 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)
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