7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

26th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

88th national percentile — 22.0%

Contract staff shareElevated

84th national percentile — 11.4%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 3.30 vs expected 3.88 · −0.58 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Mar 19, 2026 · Pattern — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0567
B
Honor the resident's right to manage his or her financial affairs
No Harm

Honor the resident's right to manage his or her financial affairs.

Survey date: Mar 19, 2026 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0311
F
Have an enclosure around a vertical opening shaft
Potential Harm

Have an enclosure around a vertical opening shaft.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 9, 2025 · Isolated — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
Ecumen Lakeshore
3.8 km · DULUTH, MN
★★★★★
CMS
35th
Risk %ile
Lower risk
TWIN PORTS HEALTH SERVICES
13.3 km · SUPERIOR, WI
★★★★
CMS
38th
Risk %ile
Lower risk
VILLA MARINA HEALTH AND REHAB CTR
12.1 km · SUPERIOR, WI
★★★★
CMS
40th
Risk %ile
Similar risk