7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityWatch

61th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

37 citations

Weekend staffing dropModerate

43th national percentile — 14.7%

Contract staff shareModerate

44th national percentile — 0.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.44 vs expected 3.43 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
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 19, 2024 · Widespread — 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: Aug 19, 2024 · Isolated — 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: Sep 27, 2023 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Sep 27, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

37 citations on file
F-0241
D
Have correct number of accessible exits for each story
Minimal Harm

Have correct number of accessible exits for each story.

Survey date: Dec 19, 2024 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 19, 2024 · Isolated — no actual harm with potential for more
F-0521
E
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Dec 19, 2024 · Pattern — no actual harm with potential for more
F-0712
C
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 19, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
GOLDEN YEARS OF LAKE GENEVA
19.4 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
MERCY HARVARD HOSPITAL CARE CENTER
23.8 km · HARVARD, IL
★★★★★
CMS
41th
Risk %ile
Similar risk
Holton Manor
9.4 km · ELKHORN, WI
★★★★★
CMS
47th
Risk %ile
Similar risk