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

71th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

96th national percentile — 25.2%

Contract staff shareElevated

78th national percentile — 8.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.50 vs expected 3.07 · +0.43 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Dec 24, 2025 · Isolated — no actual harm with potential for more
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: Dec 24, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Nov 5, 2024 · Pattern — no actual harm with potential for more
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Nov 23, 2022 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0511
F
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Dec 24, 2025 · Widespread — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Nov 23, 2022 · Widespread — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Nov 23, 2022 · Widespread — no actual harm with potential for more
F-0711
F
Provide a written emergency evacuation plan
Potential Harm

Provide a written emergency evacuation plan.

Survey date: Nov 23, 2022 · 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
TRANSITIONAL CARE UNIT
15.5 km · SAINT MARYS, OH
★★★★★
CMS
26th
Risk %ile
Lower risk
VANCREST OF ST MARY'S
15.1 km · ST MARYS, OH
★★★★★
CMS
30th
Risk %ile
Lower risk
GARDENS AT ST HENRY THE
17.6 km · SAINT HENRY, OH
★★★★★
CMS
33th
Risk %ile
Lower risk