7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 26.7% high-severity citations

ChronicityElevated

88th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

72th national percentile — 18.6%

Contract staff shareElevated

96th national percentile — 26.6%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.56 vs expected 3.91 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

30 citations on file
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0740
G
Ensure each resident must receive and the facility must provide necessar…
Actual Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Dec 18, 2025 · Isolated — actual harm
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Dec 18, 2025 · Isolated — actual harm
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Apr 25, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0226
E
Have horizontal exits used in accordance with safety requirements
Potential Harm

Have horizontal exits used in accordance with safety requirements.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Apr 25, 2025 · Isolated — no actual harm with potential for more
F-0920
E
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
F-0712
C
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Jan 4, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
AVERA BRADY HEALTH AND REHAB
3.2 km · MITCHELL, SD
★★★★★
CMS
46th
Risk %ile
Similar risk