7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 18.2% high-severity citations

ChronicityElevated

79th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropWatch

58th national percentile — 16.5%

Contract staff shareWatch

67th national percentile — 4.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.63 vs expected 5.08 · −0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

22 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Nov 21, 2025 · 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: Nov 21, 2025 · Isolated — no actual harm with potential for more
F-0812
F
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: Mar 25, 2025 · Widespread — 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: Mar 25, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Mar 25, 2025 · Pattern — 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: Mar 25, 2025 · Pattern — no actual harm with potential for more
F-0753
E
Have restrictions on the use of highly flammable decorations
Potential Harm

Have restrictions on the use of highly flammable decorations.

Survey date: Mar 25, 2025 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Mar 25, 2025 · 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
GREENLEAF HEALTH CAMPUS
21.5 km · ELKHART, IN
★★★
CMS
32th
Risk %ile
Lower risk
CREEKSIDE VILLAGE
22.5 km · MISHAWAKA, IN
★★★★
CMS
34th
Risk %ile
Lower risk
HOLY CROSS REHABILITATION AND WELLNESS
24.1 km · SOUTH BEND, IN
★★
CMS
39th
Risk %ile
Lower risk