7Risk Axes

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

How we calculate
SeverityWatch

66th national percentile — 5.9% high-severity citations

ChronicityModerate

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropLow

28th national percentile — 12.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.74 vs expected 4.00 · −0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
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: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0812
F
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: Jun 6, 2024 · Widespread — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Jun 6, 2024 · Pattern — 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: Feb 13, 2020 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0541
E
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Jun 6, 2024 · Pattern — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Jun 6, 2024 · Widespread — 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: Jun 6, 2024 · Isolated — 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
COLUMBINE COMMONS HEALTH AND REHAB LLC
20.0 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk