7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.3% high-severity citations

ChronicityElevated

73th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

27 citations

Weekend staffing dropLow

1th national percentile — 4.1%

Contract staff shareWatch

65th national percentile — 3.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.09 vs expected 3.65 · −0.56 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: Jul 16, 2025 · Isolated — immediate jeopardy
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jul 16, 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↻ Repeat

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

Survey date: Aug 20, 2024 · Isolated — no actual harm with potential for more
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Mar 19, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

27 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Mar 19, 2024 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 19, 2024 · Widespread — 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 19, 2024 · Pattern — no actual harm with potential for more
F-0541
F
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Mar 19, 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
HAMPDEN HILLS POST ACUTE
22.8 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
23.0 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
24.4 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk