7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 17.1% high-severity citations

ChronicityElevated

95th national percentile — 33 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

42 citations

Weekend staffing dropElevated

87th national percentile — 21.5%

Contract staff shareModerate

37th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.16 vs expected 2.46 · +0.70 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

76 citations on file
F-0557
D
Honor the resident's right to be treated with respect and dignity and to…
Minimal Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more
F-0676
D
Ensure residents do not lose the ability to perform activities of daily …
Minimal Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

42 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Feb 20, 2025 · Widespread — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Feb 20, 2025 · Widespread — 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: Feb 20, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 20, 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
Clement Manor Health Care Center
15.8 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
13.9 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk
ST FRANCIS HEALTH SERVICES
8.8 km · SAINT FRANCIS, WI
★★★
CMS
39th
Risk %ile
Lower risk