7Risk Axes

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

How we calculate
SeverityWatch

68th national percentile — 6.2% high-severity citations

ChronicityModerate

43th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropWatch

60th national percentile — 16.8%

Contract staff shareElevated

98th national percentile — 37.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.98 vs expected 5.59 · −0.61 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0573
D
Let each resident or the resident's legal representative access or purch…
Minimal Harm

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Survey date: Feb 5, 2026 · Isolated — no actual harm with potential for more
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: Feb 5, 2026 · Isolated — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Feb 5, 2026 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

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

Survey date: Feb 5, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Develop Emergency Preparedness policies and procedures.

Survey date: May 14, 2025 · Widespread — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: May 14, 2025 · Isolated — 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: May 14, 2025 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: May 14, 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
Evergreen Health Center
3.5 km · Oshkosh, WI
★★★★
CMS
35th
Risk %ile
Lower risk
Edenbrook of Oshkosh
7.3 km · Oshkosh, WI
★★
CMS
49th
Risk %ile
Similar risk
Park View Health Center
9.2 km · Oshkosh, WI
★★★★★
CMS
52th
Risk %ile
Similar risk