7Risk Axes

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

How we calculate
SeverityElevated

89th national percentile — 14.3% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropModerate

49th national percentile — 15.4%

Contract staff shareElevated

82th national percentile — 10.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapModerate

Reported 4.23 vs expected 4.30 · −0.07 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0726
D
Ensure that nurses and nurse aides have the appropriate competencies to …
Minimal Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey date: Mar 20, 2025 · Isolated — no actual harm with potential for more
F-0947
E
Ensure nurse aides have the skills they need to care for residents, and …
Potential Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey date: Mar 20, 2025 · Pattern — no actual harm with potential for more
F-0689
E
Ensure that a nursing home area is free from accident hazards and provid…
Potential Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 1, 2024 · Pattern — no actual harm with potential for more
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Oct 4, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Nov 27, 2024 · Pattern — 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: Nov 27, 2024 · Widespread — no actual harm with potential for more
F-0911
F
Meet requirements for the installation and maintenance of electrical sys…
Potential Harm

Meet requirements for the installation and maintenance of electrical systems.

Survey date: Nov 27, 2024 · Widespread — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Nov 27, 2024 · 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
GOLDEN YEARS OF LAKE GENEVA
16.5 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
Lindengrove Mukwonago
21.2 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk