7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

72th national percentile — 18.5%

Contract staff shareWatch

50th national percentile — 0.9%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.40 vs expected 5.18 · −0.77 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 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: Aug 14, 2024 · 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: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0741
D
Ensure that the facility has sufficient staff members who possess the c…
Minimal Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey date: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Aug 14, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Aug 14, 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: Mar 7, 2023 · Widespread — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Mar 7, 2023 · Widespread — no actual harm with potential for more
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Sep 2, 2021 · 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
LEONARDVILLE NURSING HOME
22.2 km · LEONARDVILLE, KS
★★★★
CMS
36th
Risk %ile
Lower risk