7Risk Axes

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

How we calculate
SeverityWatch

61th national percentile — 4.8% high-severity citations

ChronicityElevated

71th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

13th national percentile — 10.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 6.45 vs expected 6.47 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0636
E
Assess the resident completely in a timely manner when first admitted, …
Potential Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0640
E
Encode each resident’s assessment data and transmit these data to the St…
Potential Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Jul 31, 2025 · Pattern — 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: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0812
F
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: Jul 31, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0221
F
Provide rooms that can be unlocked from inside without a key
Potential Harm

Provide rooms that can be unlocked from inside without a key.

Survey date: Jul 31, 2025 · Widespread — 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: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0132
E
Meet requirements for outpatient facilities located next to inpatient fa…
Potential Harm

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Survey date: May 1, 2024 · Pattern — 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
12.3 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
Complete Care at Germantown
17.3 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
13.8 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk