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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropWatch

54th national percentile — 16.0%

Contract staff shareWatch

59th national percentile — 2.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0812
E
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: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0921
D
Make sure that the nursing home area is safe, easy to use, clean and com…
Minimal Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0100
E
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Dec 18, 2024 · Isolated — 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: Dec 20, 2023 · Widespread — no actual harm with potential for more
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Jan 12, 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
SOUTHPOINTE HEALTHCARE CENTER
8.2 km · INDIANAPOLIS, IN
★★★★★
CMS
22th
Risk %ile
Lower risk
ARLINGTON PLACE HEALTH CAMPUS
7.4 km · INDIANAPOLIS, IN
★★★★
CMS
28th
Risk %ile
Lower risk
GREENWOOD MEADOWS
11.7 km · GREENWOOD, IN
★★★★★
CMS
29th
Risk %ile
Lower risk