7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.7% high-severity citations

ChronicityModerate

46th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

30 citations

Weekend staffing dropModerate

47th national percentile — 15.1%

Contract staff shareElevated

88th national percentile — 14.4%

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-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Feb 24, 2025 · Isolated — 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: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Feb 15, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

30 citations on file
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Feb 15, 2024 · Widespread — no actual harm with potential for more
F-0345
F
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 15, 2024 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Feb 15, 2024 · Widespread — no actual harm with potential for more
F-0927
F
Have proper fire barriers, ventilation and signs for the transfilling of…
Potential Harm

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Survey date: Feb 15, 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
COLUMBINE COMMONS HEALTH AND REHAB LLC
18.8 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk
FAIRACRES MANOR, INC.
1.6 km · GREELEY, CO
★★★★
CMS
41th
Risk %ile
Similar risk
GRACE POINTE CONT CARE SR CAMPUS, SKILLED NURSING
6.2 km · GREELEY, CO
★★★★★
CMS
48th
Risk %ile
Similar risk