7Risk Axes

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

How we calculate
SeverityElevated

85th national percentile — 12.0% high-severity citations

ChronicityElevated

98th national percentile — 48 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

30 citations

Weekend staffing dropLow

25th national percentile — 12.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.84 vs expected 3.38 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

100 citations on file
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: Mar 18, 2026 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Mar 18, 2026 · Isolated — immediate jeopardy
F-0689
K
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm↻ Repeat

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 18, 2026 · Pattern — immediate jeopardy
F-0692
G
Provide enough food/fluids to maintain a resident's health
Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey date: Feb 18, 2026 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

30 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 26, 2025 · Pattern — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Feb 26, 2025 · Pattern — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 26, 2025 · Pattern — no actual harm with potential for more
F-0362
E
Ensure that corridors are separated from use areas by walls constructed …
Potential Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: Feb 26, 2025 · Pattern — 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
CLEARVIEW BRAIN INJURY CENTER
13.0 km · JUNEAU, WI
★★★★★
CMS
28th
Risk %ile
Lower risk
COLUMBUS HEALTH AND REHAB
20.4 km · COLUMBUS, WI
★★
CMS
54th
Risk %ile
Similar risk
Complete Care at Christian Home LLC
21.2 km · Waupun, WI
★★
CMS
56th
Risk %ile
Similar risk