7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 16.1% high-severity citations

ChronicityElevated

80th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

26 citations

Weekend staffing dropModerate

34th national percentile — 13.6%

Contract staff shareElevated

83th national percentile — 11.1%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 4.13 vs expected 3.85 · +0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Dec 3, 2025 · Pattern — no actual harm with potential for more
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Jun 25, 2025 · Isolated — immediate jeopardy
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Jun 25, 2025 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm↻ Repeat

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jun 25, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

26 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jun 25, 2025 · Widespread — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jun 25, 2025 · Pattern — no actual harm with potential for more
F-0343
F
Have a fire alarm with audible and visual signals that transmits the ala…
Potential Harm

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Survey date: Jun 25, 2025 · 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: Jun 25, 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
14.4 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
Complete Care at Germantown
18.9 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
18.9 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk