7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityWatch

58th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropModerate

46th national percentile — 15.0%

Contract staff shareWatch

55th national percentile — 1.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.51 vs expected 3.22 · +0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

42 citations on file
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0578
J
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: Mar 12, 2025 · Isolated — immediate jeopardy
F-0678
E
Provide basic life support, including CPR, prior to the arrival of emerg…
Potential Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: Mar 12, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0271
E
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Aug 27, 2025 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0712
C
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Aug 27, 2025 · Widespread — no actual harm
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Aug 27, 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
Lindengrove Mukwonago
23.2 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk
MASONIC CENTER FOR HEALTH & REHAB INC
4.5 km · DOUSMAN, WI
★★★★★
CMS
39th
Risk %ile
Lower risk
Shorehaven HLTH & Rehab CTR
7.6 km · OCONOMOWOC, WI
★★★★★
CMS
46th
Risk %ile
Similar risk