7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

87th national percentile — 21.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.89 vs expected 3.92 · −0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0697
G
Provide safe, appropriate pain management for a resident who requires su…
Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Apr 2, 2025 · Isolated — actual harm
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Dec 17, 2024 · 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: Dec 17, 2024 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 14, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0211
F
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Feb 14, 2024 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 14, 2024 · Widespread — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Feb 14, 2024 · Pattern — 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 14, 2024 · 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
Fountain View of Monroe
2.7 km · Monroe, MI
★★★★★
CMS
25th
Risk %ile
Lower risk
Wellspring Lutheran Nursing and Rehab Services
2.6 km · Monroe, MI
★★★★★
CMS
30th
Risk %ile
Lower risk
Monroe Springs Skilled Nursing and Rehab
1.8 km · Monroe, MI
★★★★★
CMS
40th
Risk %ile
Similar risk