7Risk Axes

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

How we calculate
SeverityWatch

66th national percentile — 5.7% high-severity citations

ChronicityElevated

78th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

41th national percentile — 14.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.09 vs expected 3.80 · +0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0849
D
Arrange for the provision of hospice services or assist the resident in …
Minimal Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey date: Mar 19, 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: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0887
D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Minimal Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0025
F
Create arrangements with other facilities to receive patients
Potential Harm

Create arrangements with other facilities to receive patients.

Survey date: Dec 17, 2024 · Widespread — no actual harm with potential for more
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Dec 17, 2024 · Widespread — no actual harm with potential for more
F-0029
F
Develop a communication plan
Potential Harm

Develop a communication plan.

Survey date: Dec 17, 2024 · Widespread — no actual harm with potential for more
F-0030
F
List the names and contact information of those in the facility
Potential Harm

List the names and contact information of those in the facility.

Survey date: Dec 17, 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
Munson Healthcare Otsego Memorial Hospital LTCU
807 m · Gaylord, MI
★★★
CMS
34th
Risk %ile
Lower risk