7Risk Axes

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

How we calculate
SeverityElevated

84th national percentile — 11.1% high-severity citations

ChronicityWatch

69th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropModerate

48th national percentile — 15.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.33 vs expected 4.87 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

54 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Apr 15, 2026 · Isolated — no actual harm with potential for more
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: Apr 15, 2026 · Pattern — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Apr 15, 2026 · Pattern — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Apr 15, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 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: Mar 3, 2025 · Widespread — no actual harm with potential for more
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Mar 3, 2025 · Widespread — no actual harm with potential for more
F-0291
F
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: Mar 3, 2025 · Widespread — no actual harm with potential for more
F-0311
D
Have an enclosure around a vertical opening shaft
Minimal Harm

Have an enclosure around a vertical opening shaft.

Survey date: Mar 3, 2025 · Isolated — 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
Clement Manor Health Care Center
20.5 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
Complete Care at Germantown
9.1 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
20.8 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk