7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityModerate

33th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

8th national percentile — 9.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.98 vs expected 3.42 · +0.56 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
F-0692
D
Provide enough food/fluids to maintain a resident's health
Minimal Harm

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

Survey date: Apr 9, 2026 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Feb 9, 2026 · Isolated — no actual harm with potential for more
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: Feb 9, 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: Oct 17, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0131
E
Meet requirements for sections of health care facilities separated by fi…
Potential Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: May 13, 2025 · Pattern — no actual harm with potential for more
F-0226
E
Have horizontal exits used in accordance with safety requirements
Potential Harm

Have horizontal exits used in accordance with safety requirements.

Survey date: May 13, 2025 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: May 13, 2025 · Pattern — no actual harm with potential for more
F-0355
D
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: May 13, 2025 · 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
YORKTOWN MANOR
13.9 km · YORKTOWN, IN
★★★★
CMS
23th
Risk %ile
Lower risk
MIDDLETOWN NURSING AND REHABILITATION CENTER
12.8 km · MIDDLETOWN, IN
★★★★
CMS
27th
Risk %ile
Lower risk
WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE
12.0 km · MIDDLETOWN, IN
★★★★
CMS
28th
Risk %ile
Lower risk