7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.0% high-severity citations

ChronicityElevated

90th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

79th national percentile — 19.8%

Contract staff shareWatch

54th national percentile — 1.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.17 vs expected 4.34 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
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: Jan 26, 2026 · Isolated — no actual harm with potential for more
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Sep 2, 2025 · Isolated — immediate jeopardy
F-0744
G
Provide the appropriate treatment and services to a resident who display…
Actual Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey date: Sep 2, 2025 · Isolated — actual harm
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: Jul 7, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0311
E
Have an enclosure around a vertical opening shaft
Potential Harm

Have an enclosure around a vertical opening shaft.

Survey date: Jan 26, 2026 · Pattern — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jan 26, 2026 · Widespread — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jan 26, 2026 · 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 26, 2026 · 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
GOLDEN YEARS OF LAKE GENEVA
16.1 km · LAKE GENEVA, WI
★★★
CMS
33th
Risk %ile
Lower risk
Lindengrove Mukwonago
20.9 km · MUKWONAGO, WI
★★★
CMS
38th
Risk %ile
Lower risk
Holton Manor
575 m · ELKHORN, WI
★★★★★
CMS
47th
Risk %ile
Similar risk