7Risk Axes

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

How we calculate
SeverityElevated

100th national percentile — 50.0% high-severity citations

ChronicityModerate

36th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

77th national percentile — 19.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.77 vs expected 3.72 · +0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Jul 16, 2024 · Isolated — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Jul 16, 2024 · Isolated — actual harm
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jul 16, 2024 · Isolated — actual harm
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: Jul 16, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Jul 16, 2024 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Jul 16, 2024 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 14, 2023 · Isolated — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm↻ Repeat

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Feb 14, 2023 · 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
COLUMBINE COMMONS HEALTH AND REHAB LLC
17.0 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk
FAIRACRES MANOR, INC.
4.6 km · GREELEY, CO
★★★★
CMS
41th
Risk %ile
Similar risk
GRACE POINTE CONT CARE SR CAMPUS, SKILLED NURSING
2.8 km · GREELEY, CO
★★★★★
CMS
48th
Risk %ile
Similar risk