7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityLow

18th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropWatch

68th national percentile — 17.9%

Contract staff shareModerate

43th national percentile — 0.2%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.42 vs expected 4.64 · −0.22 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 26, 2026 · Pattern — 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: Feb 26, 2026 · Isolated — no actual harm with potential for more
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: Oct 22, 2025 · Isolated — actual harm
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Nov 16, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 26, 2026 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

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

Survey date: Nov 16, 2023 · Widespread — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

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

Survey date: Nov 16, 2023 · Isolated — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm↻ Repeat

Have simulated fire drills held at unexpected times.

Survey date: Nov 16, 2023 · 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
GREEN HOUSE HOMES AT MIRASOL, THE
23.0 km · LOVELAND, CO
★★★★★
CMS
28th
Risk %ile
Lower risk
COLUMBINE COMMONS HEALTH AND REHAB LLC
14.3 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk
FAIRACRES MANOR, INC.
6.8 km · GREELEY, CO
★★★★
CMS
41th
Risk %ile
Similar risk