7Risk Axes

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

How we calculate
SeverityElevated

97th national percentile — 25.0% high-severity citations

ChronicityModerate

49th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropLow

17th national percentile — 11.0%

Contract staff shareElevated

86th national percentile — 12.6%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.98 vs expected 5.44 · −0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0578
L
Honor the resident's right to request, refuse, and/or discontinue treatm…
Actual 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: Apr 6, 2026 · Widespread — immediate jeopardy
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Apr 6, 2026 · Isolated — no actual harm with potential for more
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Apr 6, 2026 · Isolated — immediate jeopardy
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Apr 6, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Jan 21, 2025 · Widespread — no actual harm with potential for more
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Jan 21, 2025 · Pattern — no actual harm with potential for more
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: Jan 21, 2025 · Widespread — no actual harm with potential for more
F-0347
E
Properly provide smoke detection systems in areas open to corridors
Potential Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Jan 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
Clement Manor Health Care Center
13.7 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
5.9 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk
Milwaukee Health and Rehab
4.8 km · MILWAUKEE, WI
★★★★
CMS
39th
Risk %ile
Lower risk