7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.4% high-severity citations

ChronicityElevated

94th national percentile — 39 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareElevated

95th national percentile — 25.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapModerate

Reported 3.48 vs expected 3.55 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

95 citations on file
F-0806
D
Ensure each resident receives and the facility provides food that accomm…
Minimal Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0641
E
Ensure each resident receives an accurate assessment
Potential Harm

Ensure each resident receives an accurate assessment.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0600
E
Protect each resident from all types of abuse such as physical, mental, …
Potential Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0925
F
Make sure there is a pest control program to prevent/deal with mice, ins…
Potential Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Aug 13, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0271
E
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 13, 2025 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Aug 13, 2025 · 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
GOLDEN YEARS OF LAKE GENEVA
16.6 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
Lindengrove Mukwonago
24.1 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk
Holton Manor
23.3 km · ELKHORN, WI
★★★★★
CMS
47th
Risk %ile
Similar risk