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

ChronicityWatch

61th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

25 citations

Weekend staffing dropElevated

73th national percentile — 18.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.22 vs expected 4.80 · −0.59 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0679
D
Provide activities to meet all resident's needs
Minimal Harm

Provide activities to meet all resident's needs.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 12, 2026 · Widespread — no actual harm with potential for more
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0883
D
Develop and implement policies and procedures for flu and pneumonia vacc…
Minimal Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

25 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Feb 12, 2026 · Widespread — no actual harm with potential for more
F-0225
D
Have stairways and smokeproof enclosures used as exits that meet safety …
Minimal Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 12, 2026 · 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
Complete Care at Jefferson Meadows LLC
22.4 km · Baraboo, WI
★★
CMS
49th
Risk %ile
Similar risk