7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 18.2% high-severity citations

ChronicityModerate

41th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareElevated

75th national percentile — 6.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.63 vs expected 3.43 · +0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0679
E
Provide activities to meet all resident's needs
Potential Harm

Provide activities to meet all resident's needs.

Survey date: Aug 11, 2025 · Pattern — no actual harm with potential for more
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Aug 11, 2025 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

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

Survey date: Aug 11, 2025 · 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: Aug 11, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0030
F
List the names and contact information of those in the facility
Potential Harm

List the names and contact information of those in the facility.

Survey date: May 10, 2022 · Widespread — no actual harm with potential for more
F-0031
F
Provide emergency officials' contact information
Potential Harm

Provide emergency officials' contact information.

Survey date: May 10, 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
LAKESHORE POST ACUTE AND REHABILITATION CENTER
5.2 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
Pueblo Heights Nursing and Rehabilitation
5.6 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
5.0 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk