7Risk Axes

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

How we calculate
SeverityModerate

49th national percentile — 2.6% high-severity citations

ChronicityElevated

97th national percentile — 36 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

64 citations

Weekend staffing dropElevated

93th national percentile — 23.6%

Contract staff shareModerate

42th national percentile — 0.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.11 vs expected 2.66 · +0.44 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

78 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Feb 3, 2026 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Feb 3, 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: Jan 7, 2026 · Isolated — no actual harm with potential for more
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: Jan 7, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

64 citations on file
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Jan 23, 2025 · Widespread — no actual harm with potential for more
F-0354
F
Follow proper procedures when the automatic sprinkler systems was out of…
Potential Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Jan 23, 2025 · Widespread — no actual harm with potential for more
F-0015
F
Address subsistence needs for staff and patients
Potential Harm

Address subsistence needs for staff and patients.

Survey date: Jan 23, 2025 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Jan 23, 2025 · 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
ELKHART MEADOWS
17.1 km · ELKHART, IN
★★★★★
CMS
31th
Risk %ile
Lower risk
GREENLEAF HEALTH CAMPUS
19.7 km · ELKHART, IN
★★★
CMS
32th
Risk %ile
Lower risk
HUBBARD HILL ESTATES INC
19.2 km · ELKHART, IN
★★★★★
CMS
39th
Risk %ile
Lower risk