7Risk Axes

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

How we calculate
SeverityElevated

84th national percentile — 11.4% high-severity citations

ChronicityModerate

30th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropLow

4th national percentile — 7.3%

Contract staff shareWatch

67th national percentile — 4.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.89 vs expected 2.74 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0565
D
Honor the resident's right to organize and participate in resident/famil…
Minimal Harm

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

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0622
E
Not transfer or discharge a resident without an adequate reason; and mus…
Potential Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey date: Jul 29, 2024 · Pattern — no actual harm with potential for more
F-0940
F
Develop, implement, and/or maintain an effective training program for al…
Potential Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey date: Jul 29, 2024 · Widespread — no actual harm with potential for more
F-0867
D
Set up an ongoing quality assessment and assurance group to review quali…
Minimal Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Jul 29, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Mar 7, 2024 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 7, 2024 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Dec 15, 2022 · Widespread — no actual harm with potential for more
F-0781
F
Have restrictions on the use of portable space heaters
Potential Harm

Have restrictions on the use of portable space heaters.

Survey date: Dec 15, 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
HAMPDEN HILLS POST ACUTE
10.1 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
12.5 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
18.4 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk