7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 15.0% high-severity citations

ChronicityModerate

46th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropWatch

68th national percentile — 18.0%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.36 vs expected 3.72 · +0.64 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Oct 23, 2024 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Jul 31, 2024 · Isolated — actual harm
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: Jul 31, 2024 · Isolated — 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: Apr 13, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Oct 23, 2024 · Widespread — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Oct 23, 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: Oct 23, 2024 · Widespread — 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: Oct 23, 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
SUNNY VISTA LIVING CENTER
7.4 km · COLORADO SPRINGS, CO
★★★
CMS
31th
Risk %ile
Lower risk
GARDENS, THE
3.8 km · COLORADO SPRINGS, CO
★★★★★
CMS
38th
Risk %ile
Lower risk
ADVANCED HEALTH CARE OF COLORADO SPRINGS
8.4 km · COLORADO SPRINGS, CO
★★★★★
CMS
39th
Risk %ile
Lower risk