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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropModerate

49th national percentile — 15.3%

Contract staff shareElevated

89th national percentile — 15.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 5.92 vs expected 6.58 · −0.65 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 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: Feb 18, 2026 · Pattern — no actual harm with potential for more
F-0800
D
Provide each resident with a nourishing, palatable, well-balanced diet t…
Minimal Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Feb 18, 2026 · Widespread — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 18, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 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: Feb 18, 2026 · Widespread — no actual harm with potential for more
F-0291
E
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Feb 18, 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: Feb 18, 2026 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 18, 2026 · 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
LAWRENCE MEMORIAL HOSPITAL SNF
3.6 km · LAWRENCE, KS
★★★★
CMS
25th
Risk %ile
Lower risk
BALDWIN HEALTHCARE & REHAB CENTER, LLC
21.8 km · BALDWIN CITY, KS
★★★★★
CMS
39th
Risk %ile
Lower risk