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

ChronicityWatch

53th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

90th national percentile — 22.6%

Contract staff shareElevated

72th national percentile — 5.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.05 vs expected 3.65 · −0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Dec 31, 2025 · Isolated — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 31, 2025 · Widespread — no actual harm with potential for more
F-0881
E
Implement a program that monitors antibiotic use
Potential Harm

Implement a program that monitors antibiotic use.

Survey date: Dec 31, 2025 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Nov 13, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 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: Dec 31, 2025 · Widespread — no actual harm with potential for more
F-0020
F
Establish policies and procedures including evacuation
Potential Harm

Establish policies and procedures including evacuation.

Survey date: Dec 31, 2025 · Widespread — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Dec 31, 2025 · Isolated — no actual harm with potential for more
F-0925
D
Ensure that sources of ignition are removed from patients receiving resp…
Minimal Harm

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Survey date: Dec 31, 2025 · Isolated — 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
Accura HealthCare of Pierce
24.0 km · Pierce, NE
★★★
CMS
45th
Risk %ile
Similar risk