7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

71th national percentile — 18.3%

Contract staff shareWatch

65th national percentile — 3.4%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.42 vs expected 4.76 · −0.34 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

3 citations on file
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Mar 28, 2024 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Mar 28, 2024 · Isolated — no actual harm with potential for more
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: Mar 28, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 20, 2025 · Widespread — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Feb 20, 2025 · Widespread — no actual harm with potential for more
F-0354
F
Follow proper procedures when the automatic sprinkler systems was out of…
Potential Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Feb 20, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Mar 28, 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
Fountain View of Monroe
2.9 km · Monroe, MI
★★★★★
CMS
25th
Risk %ile
Lower risk
Wellspring Lutheran Nursing and Rehab Services
1.5 km · Monroe, MI
★★★★★
CMS
30th
Risk %ile
Lower risk
Monroe Springs Skilled Nursing and Rehab
2.0 km · Monroe, MI
★★★★★
CMS
40th
Risk %ile
Similar risk