7Risk Axes

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

How we calculate
SeverityElevated

73th national percentile — 7.5% high-severity citations

ChronicityElevated

80th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropWatch

68th national percentile — 18.0%

Contract staff shareWatch

60th national percentile — 2.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.47 vs expected 3.13 · +0.34 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 23, 2026 · Pattern — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: May 21, 2025 · Isolated — no actual harm with potential for more
F-0628
E
Provide the required documentation or notification related to the reside…
Potential Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: May 21, 2025 · Pattern — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: May 21, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0013
F
Develop Emergency Preparedness policies and procedures
Potential Harm

Develop Emergency Preparedness policies and procedures.

Survey date: May 21, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: May 21, 2025 · Widespread — no actual harm with potential for more
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Feb 22, 2024 · 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
18.7 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
Lindengrove Mukwonago
21.9 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk
MASONIC CENTER FOR HEALTH & REHAB INC
17.8 km · DOUSMAN, WI
★★★★★
CMS
39th
Risk %ile
Lower risk