7Risk Axes

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

How we calculate
SeverityModerate

49th national percentile — 2.4% high-severity citations

ChronicityModerate

45th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropElevated

94th national percentile — 23.9%

Contract staff shareElevated

85th national percentile — 12.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.14 vs expected 3.49 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Jan 29, 2026 · Pattern — no actual harm with potential for more
F-0693
D
Ensure that feeding tubes are not used unless there is a medical reason…
Minimal Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey date: Jan 29, 2026 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Jan 29, 2026 · Isolated — no actual harm with potential for more
F-0600
E
Protect each resident from all types of abuse such as physical, mental, …
Potential Harm

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

Survey date: Jan 29, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Jan 29, 2026 · Widespread — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Jan 29, 2026 · Isolated — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal 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 29, 2026 · Isolated — 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 29, 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
ST JOHN'S LUTHERAN HOME
17.9 km · BILLINGS, MT
★★★★
CMS
51th
Risk %ile
Similar risk
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
18.5 km · BILLINGS, MT
★★
CMS
61th
Risk %ile
Similar risk