7Risk Axes

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

How we calculate
SeverityModerate

48th national percentile — 2.2% high-severity citations

ChronicityElevated

86th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

50 citations

Weekend staffing dropElevated

71th national percentile — 18.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.92 vs expected 4.55 · +0.37 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

45 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-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Mar 19, 2026 · Isolated — actual harm
F-0725
E
Provide enough nursing staff every day to meet the needs of every reside…
Potential Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey date: Nov 25, 2025 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 25, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

50 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: Nov 25, 2025 · Widespread — no actual harm with potential for more
F-0232
E
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Potential Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Nov 25, 2025 · Pattern — no actual harm with potential for more
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Nov 25, 2025 · Widespread — no actual harm with potential for more
F-0921
F
Ensure that testing and maintenance of electrical equipment is performed…
Potential Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Nov 25, 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
HERON'S KEY
12.8 km · GIG HARBOR, WA
★★★★★
CMS
34th
Risk %ile
Lower risk
RAINIER REHABILITATION
19.9 km · PUYALLUP, WA
★★★★★
CMS
36th
Risk %ile
Lower risk
TACOMA NURSING AND REHABILITATION CENTER
11.2 km · TACOMA, WA
★★★★★
CMS
42th
Risk %ile
Similar risk