7Risk Axes

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

How we calculate
SeverityWatch

60th national percentile — 4.7% high-severity citations

ChronicityElevated

85th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropWatch

57th national percentile — 16.4%

Contract staff shareWatch

63th national percentile — 2.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.79 vs expected 3.85 · −0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
F-0851
C
Electronically submit to CMS complete and accurate direct care staffing …
Minimal Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey date: Jan 13, 2026 · Widespread — no actual harm
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: Jan 13, 2026 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jan 13, 2026 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jan 13, 2026 · 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-0161
F
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Jan 13, 2026 · Widespread — no actual harm with potential for more
F-0920
F
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jan 13, 2026 · Widespread — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 13, 2026 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 29, 2024 · 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
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU
177 m · BELOIT, KS
★★★★
CMS
51th
Risk %ile
Similar risk