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 dropWatch

52th national percentile — 15.8%

Contract staff shareElevated

95th national percentile — 23.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.41 vs expected 3.90 · −0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Apr 24, 2026 · Isolated — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Apr 24, 2026 · Isolated — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Apr 24, 2026 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Mar 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0321
E
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: Mar 28, 2024 · Pattern — no actual harm with potential for more
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 28, 2024 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Mar 28, 2024 · Widespread — no actual harm with potential for more
F-0036
F
Establish emergency prep training and testing
Potential Harm

Establish emergency prep training and testing.

Survey date: Mar 28, 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
ORCHARD POINTE HEALTH CAMPUS
24.5 km · KENDALLVILLE, IN
★★★★
CMS
33th
Risk %ile
Lower risk