7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 26.7% high-severity citations

ChronicityModerate

46th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropElevated

90th national percentile — 22.5%

Contract staff shareModerate

46th national percentile — 0.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Nov 7, 2024 · 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: Nov 7, 2024 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 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: Nov 7, 2024 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

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

Survey date: Nov 7, 2024 · Pattern — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Nov 7, 2024 · 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
CENTER AT NORTHRIDGE, LLC, THE
18.6 km · WESTMINSTER, CO
★★★★★
CMS
34th
Risk %ile
Lower risk
SKYLAKE POST ACUTE
14.1 km · THORNTON, CO
CMS
45th
Risk %ile
Similar risk
COAL CREEK POST ACUTE & ASSISTED LIVING
24.7 km · LAFAYETTE, CO
★★★★
CMS
53th
Risk %ile
Similar risk