7Risk Axes

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

How we calculate
SeverityElevated

85th national percentile — 12.0% high-severity citations

ChronicityModerate

46th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

28 citations

Weekend staffing dropElevated

93th national percentile — 23.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapModerate

Reported 2.95 vs expected 3.00 · −0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

25 citations on file
F-0623
E
Provide timely notification to the resident, and if applicable to the re…
Potential Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0756
E
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Potential Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0625
E
Notify the resident or the resident’s representative in writing how long…
Potential Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
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 18, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

28 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Dec 18, 2024 · Widespread — no actual harm with potential for more
F-0225
F
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Dec 18, 2024 · 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

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 18, 2024 · 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 18, 2024 · 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
LAKEPOINT AUGUSTA, LLC
14.7 km · AUGUSTA, KS
CMS
44th
Risk %ile
Similar risk