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

ChronicityLow

20th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

82th national percentile — 20.4%

Contract staff shareElevated

75th national percentile — 6.6%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.47 vs expected 5.56 · −1.09 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0868
F
Have the Quality Assessment and Assurance group have the required member…
Potential Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey date: Feb 2, 2026 · Widespread — no actual harm with potential for more
F-0552
E
Ensure that residents are fully informed and understand their health sta…
Potential Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Sep 24, 2024 · Pattern — no actual harm with potential for more
F-0641
E
Ensure each resident receives an accurate assessment
Potential Harm

Ensure each resident receives an accurate assessment.

Survey date: Sep 24, 2024 · Pattern — no actual harm with potential for more
F-0712
D
Ensure that the resident and his/her doctor meet face-to-face at all req…
Minimal Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey date: Sep 24, 2024 · 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-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
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 2, 2026 · Pattern — no actual harm with potential for more
F-0751
E
Have restrictions on the use of flammable curtains
Potential Harm

Have restrictions on the use of flammable curtains.

Survey date: Feb 2, 2026 · Pattern — no actual harm with potential for more
F-0754
E
Provide properly sized and located linen or trash receptacles
Potential Harm

Provide properly sized and located linen or trash receptacles.

Survey date: Sep 24, 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
Legacy Square
19.7 km · Henderson, NE
★★
CMS
49th
Risk %ile
Similar risk