7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityElevated

77th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

71th national percentile — 18.3%

Contract staff shareModerate

44th national percentile — 0.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 1.72 vs expected 1.34 · +0.38 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Oct 3, 2024 · Widespread — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Oct 3, 2024 · Isolated — no actual harm with potential for more
F-0804
E
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Potential Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Oct 3, 2024 · Pattern — no actual harm with potential for more
F-0912
B
Provide rooms that are at least 80 square feet per resident in multiple …
No Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey date: Oct 3, 2024 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jul 21, 2022 · Widespread — 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: Jul 21, 2022 · Widespread — no actual harm with potential for more
F-0034
F
Provide a means of sharing information on occupancy/needs
Potential Harm

Provide a means of sharing information on occupancy/needs.

Survey date: Jul 21, 2022 · Widespread — no actual harm with potential for more
F-0035
F
Provide family notifications of emergency plan
Potential Harm

Provide family notifications of emergency plan.

Survey date: Jul 21, 2022 · 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
GILLESPIE HEALTH & REHAB CTR
16.3 km · GILLESPIE, IL
★★★
CMS
27th
Risk %ile
Lower risk
MONTGOMERY NURSING & REHAB CTR
16.2 km · HILLSBORO, IL
★★★
CMS
46th
Risk %ile
Similar risk
LITCHFIELD HEALTH & REHAB CENTER
1.1 km · LITCHFIELD, IL
★★★★
CMS
47th
Risk %ile
Similar risk