7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityLow

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

1 citation

Weekend staffing dropElevated

93th national percentile — 23.7%

Contract staff shareElevated

95th national percentile — 25.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 7.07 vs expected 9.50 · −2.43 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: May 1, 2025 · Isolated — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: May 1, 2025 · Isolated — actual harm
F-0689
E
Ensure that a nursing home area is free from accident hazards and provid…
Potential Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: May 1, 2025 · Pattern — 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: May 1, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

1 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: May 1, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
SEVEN SISTERS LIVING CENTER
2.2 km · HOT SPRINGS, SD
★★★
CMS
57th
Risk %ile
Similar risk