7Risk Axes

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

How we calculate
SeverityElevated

97th national percentile — 25.0% high-severity citations

ChronicityWatch

61th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropClean

No PBJ staffing data

Contract staff shareClean

No PBJ staffing data

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 9.78 vs expected 3.99 · +5.79 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

4 citations on file
F-0695
J
Provide safe and appropriate respiratory care for a resident when needed…
Actual Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 18, 2025 · Isolated — immediate jeopardy
F-0812
E
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: Feb 13, 2025 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Nov 10, 2022 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Feb 13, 2025 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 13, 2025 · Widespread — no actual harm with potential for more
F-0919
D
Meet requirements for the use of electrical equipment
Minimal Harm

Meet requirements for the use of electrical equipment.

Survey date: Feb 13, 2025 · Isolated — no actual harm with potential for more
F-0930
F
Ensure proper storage of liquid oxygen
Potential Harm

Ensure proper storage of liquid oxygen.

Survey date: Feb 13, 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
DOVE HEALTHCARE - BLOOMER
20.4 km · BLOOMER, WI
★★★★★
CMS
35th
Risk %ile
Lower risk
MEADOWBROOK AT BLOOMER
19.5 km · BLOOMER, WI
★★★★
CMS
38th
Risk %ile
Lower risk
GRACE LUTHERAN COMMUNITIES - RIVER PINES
17.6 km · ALTOONA, WI
★★★★★
CMS
39th
Risk %ile
Lower risk