7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.8% high-severity citations

ChronicityModerate

38th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropElevated

83th national percentile — 20.6%

Contract staff shareElevated

94th national percentile — 22.3%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.08 vs expected 3.83 · +0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jul 24, 2025 · Isolated — immediate jeopardy
F-0945
F
Include as part of its infection prevention and control program, mandato…
Potential Harm

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey date: Jul 24, 2025 · Widespread — no actual harm with potential for more
F-0732
C
Post nurse staffing information every day
Minimal Harm

Post nurse staffing information every day.

Survey date: Jul 24, 2025 · Widespread — no actual harm
F-0949
F
Provide behavior health training consistent with the requirements and as…
Potential Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey date: Jul 24, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jan 8, 2026 · Widespread — 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: Jan 8, 2026 · Isolated — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0781
D
Have restrictions on the use of portable space heaters
Minimal Harm

Have restrictions on the use of portable space heaters.

Survey date: Jan 8, 2026 · 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
GOLDEN YEARS OF LAKE GENEVA
24.2 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
Lindengrove Mukwonago
7.0 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk
Holton Manor
15.8 km · ELKHORN, WI
★★★★★
CMS
47th
Risk %ile
Similar risk