7Risk Axes

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

How we calculate
SeverityElevated

77th national percentile — 8.6% high-severity citations

ChronicityWatch

63th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

34 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareElevated

90th national percentile — 16.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.49 vs expected 5.19 · −0.70 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Nov 17, 2025 · Isolated — no actual harm with potential for more
F-0770
D
Provide timely, quality laboratory services/tests to meet the needs of r…
Minimal Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey date: Nov 17, 2025 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Nov 17, 2025 · 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: Nov 17, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

34 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Nov 17, 2025 · Widespread — no actual harm with potential for more
F-0024
F
Establish policies and procedures for volunteers
Potential Harm

Establish policies and procedures for volunteers.

Survey date: Nov 17, 2025 · Widespread — no actual harm with potential for more
F-0030
F
List the names and contact information of those in the facility
Potential Harm

List the names and contact information of those in the facility.

Survey date: Nov 17, 2025 · Widespread — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Nov 17, 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
CHAPMAN VALLEY MANOR
12.0 km · CHAPMAN, KS
★★★★★
CMS
53th
Risk %ile
Similar risk
MEMORIAL HOSPITAL LTCU (VILLAGE MANOR)
8.5 km · ABILENE, KS
★★★
CMS
54th
Risk %ile
Similar risk