7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityWatch

66th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropWatch

55th national percentile — 16.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.22 vs expected 2.41 · +0.81 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 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: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jun 6, 2025 · 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: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0812
F
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: Jun 6, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 6, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: May 2, 2024 · Widespread — no actual harm with potential for more
F-0711
F
Provide a written emergency evacuation plan
Potential Harm

Provide a written emergency evacuation plan.

Survey date: Apr 13, 2023 · Widespread — 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: Apr 13, 2023 · 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
BARRY HEALTHCARE & SR LIVING
23.0 km · BARRY, IL
★★★
CMS
51th
Risk %ile
Similar risk