7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityElevated

82th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropLow

17th national percentile — 11.1%

Contract staff shareElevated

88th national percentile — 14.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.98 vs expected 3.57 · +0.40 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

45 citations on file
F-0602
K
Protect each resident from the wrongful use of the resident's belongings…
Actual Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey date: Nov 6, 2025 · Pattern — immediate jeopardy
F-0609
K
Timely report suspected abuse, neglect, or theft and report the results …
Actual Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Nov 6, 2025 · Pattern — immediate jeopardy
F-0610
K
Respond appropriately to all alleged violations
Actual Harm

Respond appropriately to all alleged violations.

Survey date: Nov 6, 2025 · Pattern — immediate jeopardy
F-0835
K
Administer the facility in a manner that enables it to use its resources…
Actual Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Nov 6, 2025 · Pattern — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0025
F
Create arrangements with other facilities to receive patients
Potential Harm

Create arrangements with other facilities to receive patients.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0711
F
Provide a written emergency evacuation plan
Potential Harm

Provide a written emergency evacuation plan.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Sep 4, 2025 · Widespread — 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
PRIDE TLC THERAPY AND LIVING CAMPUS
10.2 km · WESTON, WI
★★★★★
CMS
23th
Risk %ile
Lower risk
PINE CREST HEALTH AND MEMORY CARE
23.9 km · MERRILL, WI
★★★★
CMS
45th
Risk %ile
Similar risk
WAUSAU MANOR HEALTH SERVICES
4.8 km · WAUSAU, WI
★★★
CMS
48th
Risk %ile
Similar risk