7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityLow

24th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropElevated

76th national percentile — 19.2%

Contract staff shareElevated

83th national percentile — 11.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 4, 2026 · Isolated — no actual harm with potential for more
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: Dec 5, 2025 · Isolated — no actual harm with potential for more
F-0806
D
Ensure each resident receives and the facility provides food that accomm…
Minimal Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey date: Oct 22, 2024 · 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: Apr 30, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Oct 22, 2024 · 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: Oct 22, 2024 · 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: Oct 22, 2024 · Widespread — no actual harm with potential for more
F-0927
D
Have proper fire barriers, ventilation and signs for the transfilling of…
Minimal Harm

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Survey date: Oct 22, 2024 · 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
LAKESHORE POST ACUTE AND REHABILITATION CENTER
1.7 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
Pueblo Heights Nursing and Rehabilitation
7.8 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
8.5 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk