7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropWatch

65th national percentile — 17.6%

Contract staff shareElevated

80th national percentile — 8.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.18 vs expected 3.68 · −0.50 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0569
D
Notify each resident of certain balances and convey resident funds upon …
Minimal Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Aug 27, 2025 · 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: Aug 27, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0341
E
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: Aug 27, 2025 · Pattern — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Aug 27, 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
HAMPDEN HILLS POST ACUTE
22.8 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
23.1 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
24.5 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk