7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityWatch

61th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareElevated

97th national percentile — 29.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 5.17 vs expected 5.67 · −0.50 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jul 2, 2025 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Jul 2, 2025 · Isolated — no actual harm with potential for more
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Jul 2, 2025 · Pattern — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jul 2, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Feb 19, 2025 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 19, 2025 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Feb 19, 2025 · Widespread — no actual harm with potential for more
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jan 4, 2024 · Isolated — 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
Sturgeon Bay Health Services
1.8 km · Sturgeon Bay, WI
★★★
CMS
47th
Risk %ile
Similar risk