7Risk Axes

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

How we calculate
SeverityElevated

77th national percentile — 8.6% high-severity citations

ChronicityModerate

38th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

84th national percentile — 20.7%

Contract staff shareElevated

80th national percentile — 8.8%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 2.89 vs expected 2.83 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: May 7, 2025 · Isolated — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Apr 2, 2025 · Pattern — no actual harm with potential for more
F-0625
D
Notify the resident or the resident’s representative in writing how long…
Minimal Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0006
D
Conduct risk assessment and an All-Hazards approach
Minimal Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jan 13, 2023 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Jan 13, 2023 · 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
AVERA MARYHOUSE LONG TERM CARE
178 m · PIERRE, SD
★★★★★
CMS
55th
Risk %ile
Similar risk