7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

36th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropWatch

64th national percentile — 17.4%

Contract staff shareElevated

77th national percentile — 7.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.36 vs expected 2.71 · +0.65 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Apr 10, 2026 · Isolated — 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: Apr 10, 2026 · Widespread — no actual harm
F-0867
D
Set up an ongoing quality assessment and assurance group to review quali…
Minimal Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Apr 10, 2026 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 10, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0321
E
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: Apr 10, 2026 · Pattern — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Apr 10, 2026 · Pattern — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Apr 10, 2026 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 10, 2026 · Pattern — 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
YORKTOWN MANOR
16.2 km · YORKTOWN, IN
★★★★
CMS
23th
Risk %ile
Lower risk
MIDDLETOWN NURSING AND REHABILITATION CENTER
12.3 km · MIDDLETOWN, IN
★★★★
CMS
27th
Risk %ile
Lower risk
WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE
11.7 km · MIDDLETOWN, IN
★★★★
CMS
28th
Risk %ile
Lower risk