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

ChronicityElevated

75th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

27 citations

Weekend staffing dropLow

17th national percentile — 11.1%

Contract staff shareElevated

80th national percentile — 9.2%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 5.60 vs expected 5.43 · +0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Jan 7, 2026 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 7, 2026 · Pattern — no actual harm with potential for more
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: Jan 7, 2026 · Isolated — no actual harm with potential for more
F-0851
C
Electronically submit to CMS complete and accurate direct care staffing …
Minimal Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey date: Sep 11, 2024 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

27 citations on file
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jan 7, 2026 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jan 7, 2026 · Pattern — no actual harm with potential for more
F-0521
E
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jan 7, 2026 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jan 7, 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
Complete Care at Germantown
12.8 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
Cedarburg Health Services
0 m · Cedarburg, WI
★★★
CMS
45th
Risk %ile
Similar risk
Cedar Lake Health and Rehab Center
13.1 km · West Bend, WI
★★★★
CMS
45th
Risk %ile
Similar risk