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

ChronicityElevated

73th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropElevated

93th national percentile — 23.5%

Contract staff shareElevated

72th national percentile — 5.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.72 vs expected 3.83 · −0.11 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0725
F
Provide enough nursing staff every day to meet the needs of every reside…
Potential Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey date: Feb 27, 2026 · Widespread — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0887
D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Minimal Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0221
D
Provide rooms that can be unlocked from inside without a key
Minimal Harm

Provide rooms that can be unlocked from inside without a key.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 27, 2026 · 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
Ecumen Lakeshore
9.0 km · DULUTH, MN
★★★★★
CMS
35th
Risk %ile
Lower risk
TWIN PORTS HEALTH SERVICES
6.0 km · SUPERIOR, WI
★★★★
CMS
38th
Risk %ile
Lower risk
VILLA MARINA HEALTH AND REHAB CTR
4.2 km · SUPERIOR, WI
★★★★
CMS
40th
Risk %ile
Similar risk