7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 28.6% high-severity citations

ChronicityModerate

46th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropModerate

39th national percentile — 14.2%

Contract staff shareModerate

47th national percentile — 0.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.37 vs expected 3.32 · +0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0925
E
Make sure there is a pest control program to prevent/deal with mice, ins…
Potential Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0697
J
Provide safe, appropriate pain management for a resident who requires su…
Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Nov 22, 2025 · Isolated — immediate jeopardy
F-0776
G
Provide timely, approved x-ray services, or have an agreement with an ap…
Actual Harm

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Survey date: Nov 22, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Dec 4, 2025 · 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: Dec 4, 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
The Springs at Stony Brook
10.2 km · Louisville, KY
★★★★★
CMS
19th
Risk %ile
Lower risk
Park Terrace Health Campus
20.1 km · Louisville, KY
★★★★
CMS
21th
Risk %ile
Lower risk
Franciscan Health Care Center
11.6 km · Louisville, KY
★★★
CMS
27th
Risk %ile
Lower risk