7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.0% high-severity citations

ChronicityLow

19th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropWatch

52th national percentile — 15.8%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.69 vs expected 3.86 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
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: Nov 14, 2024 · Isolated — actual harm
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Feb 6, 2024 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 6, 2024 · 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 6, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 6, 2024 · Widespread — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 6, 2024 · 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 6, 2024 · Isolated — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Oct 17, 2022 · 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
HAMPDEN HILLS POST ACUTE
18.9 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
11.8 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
18.9 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk