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

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

81th national percentile — 20.2%

Contract staff shareElevated

75th national percentile — 6.7%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.96 vs expected 5.63 · −0.67 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
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: Sep 5, 2024 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Sep 5, 2024 · 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: Sep 5, 2024 · 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: Sep 5, 2024 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Sep 5, 2024 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 5, 2024 · Widespread — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Sep 5, 2024 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Sep 5, 2024 · 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
FAIRVIEW HAVEN
17.1 km · FAIRBURY, IL
★★★★★
CMS
40th
Risk %ile
Similar risk