7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.1% high-severity citations

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropModerate

39th national percentile — 14.1%

Contract staff shareElevated

71th national percentile — 5.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.24 vs expected 2.97 · +0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
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: Aug 5, 2025 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: May 8, 2024 · Isolated — no actual harm with potential for more
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: May 8, 2024 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: May 8, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: May 8, 2024 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: May 8, 2024 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 8, 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: May 8, 2024 · 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
CASS COUNTY SENIOR LIVING & REHABILITATION LLC
19.6 km · VIRGINIA, IL
★★
CMS
40th
Risk %ile
Similar risk