7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.4% high-severity citations

ChronicityElevated

72th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

28 citations

Weekend staffing dropElevated

85th national percentile — 21.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 2.78 vs expected 4.11 · −1.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Dec 4, 2025 · Pattern — 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: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0867
F
Set up an ongoing quality assessment and assurance group to review quali…
Potential Harm

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

Survey date: Apr 25, 2025 · Widespread — no actual harm with potential for more
F-0849
D
Arrange for the provision of hospice services or assist the resident in …
Minimal Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey date: Apr 25, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

28 citations on file
F-0321
F
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: Dec 4, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 4, 2025 · Widespread — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Dec 4, 2025 · Widespread — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm↻ Repeat

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

Survey date: Apr 25, 2025 · 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
20.0 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
22.1 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
23.5 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk