7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.8% high-severity citations

ChronicityElevated

86th national percentile — 26 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropElevated

73th national percentile — 18.7%

Contract staff shareElevated

95th national percentile — 24.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.43 vs expected 4.60 · −0.16 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

73 citations on file
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Dec 10, 2025 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Dec 10, 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 10, 2025 · Isolated — no actual harm with potential for more
F-0691
D
Provide appropriate colostomy, urostomy, or ileostomy care/services for …
Minimal Harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Survey date: Dec 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 17, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Mar 17, 2025 · Widespread — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Mar 17, 2025 · Pattern — 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: Mar 17, 2025 · Pattern — 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
GOLDEN YEARS OF LAKE GENEVA
2.1 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
Holton Manor
14.4 km · ELKHORN, WI
★★★★★
CMS
47th
Risk %ile
Similar risk
WILLIAMS BAY HEALTH SERVICES
10.0 km · WILLIAMS BAY, WI
★★★
CMS
49th
Risk %ile
Similar risk