7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 14.6% high-severity citations

ChronicityElevated

97th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropModerate

44th national percentile — 14.8%

Contract staff shareElevated

93th national percentile — 21.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 4.25 vs expected 4.27 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Dec 2, 2025 · Isolated — 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: Dec 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: Sep 10, 2025 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm↻ Repeat

Respond appropriately to all alleged violations.

Survey date: Sep 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Develop Emergency Preparedness policies and procedures.

Survey date: Sep 10, 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: Sep 10, 2025 · Pattern — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

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

Survey date: Sep 10, 2025 · Pattern — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Sep 10, 2025 · 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
LANCASTER HEALTH SERVICES
16.6 km · LANCASTER, WI
★★
CMS
48th
Risk %ile
Similar risk
ORCHARD MANOR
17.5 km · LANCASTER, WI
★★★★★
CMS
50th
Risk %ile
Similar risk
CARE AND REHAB - BOSCOBEL
17.2 km · BOSCOBEL, WI
★★★★★
CMS
52th
Risk %ile
Similar risk