7Risk Axes

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

How we calculate
SeverityElevated

87th national percentile — 12.8% high-severity citations

ChronicityElevated

92th national percentile — 31 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

44 citations

Weekend staffing dropElevated

98th national percentile — 27.2%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.21 vs expected 4.19 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

78 citations on file
F-0740
D
Ensure each resident must receive and the facility must provide necessar…
Minimal Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Jan 27, 2026 · Isolated — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

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

Survey date: Jan 27, 2026 · Isolated — actual harm
F-0887
E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Potential 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: Jan 27, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

44 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0013
F
Develop Emergency Preparedness policies and procedures
Potential Harm

Develop Emergency Preparedness policies and procedures.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0925
D
Ensure that sources of ignition are removed from patients receiving resp…
Minimal Harm

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

Survey date: Jan 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
Clement Manor Health Care Center
4.6 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
7.4 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk
ST FRANCIS HEALTH SERVICES
8.4 km · SAINT FRANCIS, WI
★★★
CMS
39th
Risk %ile
Lower risk