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

18th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

78th national percentile — 19.5%

Contract staff shareElevated

95th national percentile — 24.7%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 4.25 vs expected 4.71 · −0.47 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0627
D
Ensure the transfer/discharge meets the resident's needs/preferences and…
Minimal Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey date: Feb 20, 2026 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jul 10, 2025 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Apr 5, 2024 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Apr 5, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Apr 14, 2023 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 14, 2023 · Isolated — no actual harm with potential for more
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Feb 23, 2022 · Isolated — no actual harm with potential for more
F-0030
D
List the names and contact information of those in the facility
Minimal Harm

List the names and contact information of those in the facility.

Survey date: Feb 23, 2022 · Isolated — 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
KAUAI VETERANS MEMORIAL HOSPITAL
300 m · WAIMEA, HI
★★
CMS
42th
Risk %ile
Similar risk