7Risk Axes

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

How we calculate
SeverityWatch

60th national percentile — 4.5% high-severity citations

ChronicityWatch

68th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

45th national percentile — 14.9%

Contract staff shareElevated

75th national percentile — 6.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.48 vs expected 3.33 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

22 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Aug 6, 2025 · Isolated — 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: Aug 6, 2025 · Widespread — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Jun 5, 2024 · Isolated — no actual harm with potential for more
F-0883
E
Develop and implement policies and procedures for flu and pneumonia vacc…
Potential Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: Jun 5, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Aug 6, 2025 · Pattern — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Aug 6, 2025 · Isolated — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Aug 6, 2025 · Widespread — no actual harm
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Aug 6, 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
COURT MANOR HEALTH SERVICES
1.2 km · ASHLAND, WI
★★★
CMS
50th
Risk %ile
Similar risk