7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.4% high-severity citations

ChronicityElevated

78th national percentile — 22 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

60 citations

Weekend staffing dropWatch

59th national percentile — 16.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.18 vs expected 3.48 · −0.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

70 citations on file
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Apr 29, 2026 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Jun 5, 2025 · 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, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

60 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jun 5, 2025 · Widespread — no actual harm with potential for more
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0036
F
Establish emergency prep training and testing
Potential Harm

Establish emergency prep training and testing.

Survey date: Jun 5, 2025 · Widespread — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Jun 5, 2025 · Pattern — 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
TWIN OAKS HEALTH AND REHAB
13.9 km · LANSING, KS
★★★★★
CMS
33th
Risk %ile
Lower risk