7Risk Axes

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

How we calculate
SeverityModerate

49th national percentile — 2.5% high-severity citations

ChronicityElevated

85th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

25 citations

Weekend staffing dropModerate

35th national percentile — 13.7%

Contract staff shareModerate

37th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.29 vs expected 2.91 · +0.38 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Apr 1, 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: Apr 1, 2026 · 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: Jan 13, 2026 · Isolated — no actual harm with potential for more
F-0867
F
Set up an ongoing quality assessment and assurance group to review quali…
Potential Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Jan 13, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

25 citations on file
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Jan 13, 2026 · Widespread — no actual harm with potential for more
F-0374
E
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: Jan 13, 2026 · Pattern — no actual harm with potential for more
F-0927
E
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: Jan 13, 2026 · Pattern — no actual harm with potential for more
F-0920
E
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jan 13, 2026 · 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
SPRINGS OF MOORESVILLE, THE
24.7 km · MOORESVILLE, IN
★★★★★
CMS
28th
Risk %ile
Lower risk
FAIRWAY VILLAGE
25.0 km · INDIANAPOLIS, IN
★★★★★
CMS
30th
Risk %ile
Lower risk
AVON HEALTH & REHABILITATION CENTER
9.9 km · AVON, IN
★★★★
CMS
32th
Risk %ile
Lower risk