7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityModerate

36th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

22 citations

Weekend staffing dropModerate

40th national percentile — 14.3%

Contract staff shareElevated

77th national percentile — 7.6%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.84 vs expected 3.16 · −0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0925
F
Make sure there is a pest control program to prevent/deal with mice, ins…
Potential Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Jan 21, 2026 · Widespread — no actual harm with potential for more
F-0552
E
Ensure that residents are fully informed and understand their health sta…
Potential Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0809
E
Ensure meals and snacks are served at times in accordance with resident’…
Potential Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey date: Aug 21, 2025 · Pattern — no actual harm with potential for more
F-0921
E
Make sure that the nursing home area is safe, easy to use, clean and com…
Potential Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Aug 21, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

22 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Aug 21, 2025 · Isolated — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Aug 21, 2025 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Aug 21, 2025 · Widespread — no actual harm with potential for more
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Aug 21, 2025 · 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
8.9 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
10.3 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
14.3 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk