7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareElevated

85th national percentile — 12.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 5.26 vs expected 5.23 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: May 1, 2025 · Isolated — no actual harm with potential for more
F-0678
J
Provide basic life support, including CPR, prior to the arrival of emerg…
Actual Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: May 1, 2025 · Isolated — immediate jeopardy
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: May 1, 2025 · Isolated — no actual harm with potential for more
F-0759
E
Ensure medication error rates are not 5 percent or greater
Potential Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: May 1, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: May 1, 2025 · Widespread — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: May 1, 2025 · Pattern — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: May 1, 2025 · Pattern — no actual harm with potential for more
F-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: May 1, 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
CHI Health St. Francis
4.4 km · Grand Island, NE
★★★★
CMS
20th
Risk %ile
Lower risk