7Risk Axes

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

How we calculate
SeverityElevated

77th national percentile — 8.5% high-severity citations

ChronicityElevated

100th national percentile — 48 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

72th national percentile — 18.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapModerate

Reported 4.05 vs expected 4.07 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

82 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: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0600
G
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Mar 5, 2026 · Isolated — actual harm
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Feb 2, 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 2, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 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 2, 2026 · Widespread — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Feb 2, 2026 · Pattern — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Feb 2, 2026 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 2, 2026 · 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
Wellspring Lutheran Services
20.1 km · Frankenmuth, MI
★★★
CMS
45th
Risk %ile
Similar risk
Avista Nursing and Rehabilitation
22.4 km · Saginaw, MI
★★★
CMS
49th
Risk %ile
Similar risk
Maple Woods Manor
10.8 km · Clio, MI
★★
CMS
54th
Risk %ile
Similar risk