7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 16.1% high-severity citations

ChronicityWatch

64th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropWatch

59th national percentile — 16.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.73 vs expected 3.86 · −0.13 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
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: Feb 26, 2026 · Isolated — no actual harm with potential for more
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: Feb 26, 2026 · Isolated — actual harm
F-0550
G
Honor the resident's right to a dignified existence, self-determination,…
Actual Harm

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

Survey date: Aug 7, 2024 · Isolated — actual harm
F-0660
D
Plan the resident's discharge to meet the resident's goals and needs
Minimal Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey date: Aug 7, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: May 9, 2024 · Widespread — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: May 9, 2024 · Widespread — no actual harm with potential for more
F-0200
F
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: May 9, 2024 · Widespread — 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: May 9, 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
LAKESHORE POST ACUTE AND REHABILITATION CENTER
3.5 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
Pueblo Heights Nursing and Rehabilitation
10.4 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
9.3 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk