7Risk Axes

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

How we calculate
SeverityWatch

60th national percentile — 4.5% high-severity citations

ChronicityElevated

91th national percentile — 17 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

44 citations

Weekend staffing dropModerate

40th national percentile — 14.3%

Contract staff shareElevated

88th national percentile — 14.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.77 vs expected 3.51 · +0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

44 citations on file
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0947
D
Ensure nurse aides have the skills they need to care for residents, and …
Minimal Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey date: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0846
C
Have policies and procedures ensuring the administrator's responsibiliti…
Minimal Harm

Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.

Survey date: Mar 27, 2025 · Widespread — no actual harm
F-0689
J
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: Mar 27, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

44 citations on file
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Jul 10, 2024 · Widespread — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jul 10, 2024 · Widespread — no actual harm with potential for more
F-0925
E
Ensure that sources of ignition are removed from patients receiving resp…
Potential Harm

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Survey date: Jul 10, 2024 · Pattern — no actual harm with potential for more
F-0916
F
Have a battery powered remote alarm panel in a location accessible by op…
Potential Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Jul 10, 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
Harbor Haven Health & Rehabilitation
1.9 km · Fond du Lac, WI
★★★★★
CMS
27th
Risk %ile
Lower risk
HOPE HEALTH AND REHAB
21.9 km · LOMIRA, WI
★★★★
CMS
45th
Risk %ile
Similar risk