7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 6.9% high-severity citations

ChronicityLow

21th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

44 citations

Weekend staffing dropLow

21th national percentile — 11.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.87 vs expected 4.52 · −0.65 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0849
E
Arrange for the provision of hospice services or assist the resident in …
Potential Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey date: Feb 26, 2026 · Pattern — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 26, 2026 · Pattern — no actual harm with potential for more
F-0883
D
Develop and implement policies and procedures for flu and pneumonia vacc…
Minimal Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: Feb 26, 2026 · Isolated — no actual harm with potential for more
F-0678
D
Provide basic life support, including CPR, prior to the arrival of emerg…
Minimal Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: Feb 26, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

44 citations on file
F-0211
F
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Feb 26, 2026 · Widespread — no actual harm with potential for more
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Feb 26, 2026 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 26, 2026 · Widespread — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Feb 26, 2026 · 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
HAMPDEN HILLS POST ACUTE
9.5 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
11.7 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
17.5 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk