7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 14.5% high-severity citations

ChronicityElevated

94th national percentile — 32 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

40 citations

Weekend staffing dropElevated

99th national percentile — 28.7%

Contract staff shareElevated

72th national percentile — 5.3%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapModerate

Reported 2.70 vs expected 2.78 · −0.09 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

76 citations on file
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Dec 31, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Dec 31, 2025 · Isolated — no actual harm with potential for more
F-0559
D
Honor the resident's right to share a room with spouse or roommate of ch…
Minimal Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0585
F
Honor the resident's right to voice grievances without discrimination or…
Potential Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Dec 4, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

40 citations on file
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Sep 11, 2025 · Isolated — no actual harm with potential for more
F-0771
F
Ensure that smoke control systems are tested and documented in accordanc…
Potential Harm

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

Survey date: Sep 11, 2025 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Sep 11, 2025 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Sep 11, 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
ELKHORN HEALTHCARE AND REHABILITATION
14.6 km · CLANCY, MT
★★
CMS
48th
Risk %ile
Similar risk
MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
825 m · HELENA, MT
CMS
67th
Risk %ile
Higher risk