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

ChronicityModerate

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropWatch

62th national percentile — 17.1%

Contract staff shareElevated

100th national percentile — 75.2%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 7.43 vs expected 9.27 · −1.84 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Apr 30, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 30, 2025 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Apr 4, 2024 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm↻ Repeat

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

Survey date: Oct 19, 2023 · 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-0111
E
Satisfy building requirements after a repair, renovation, modification, …
Potential Harm

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Survey date: Mar 17, 2025 · Pattern — no actual harm with potential for more
F-0271
E
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Mar 17, 2025 · Pattern — no actual harm with potential for more
F-0341
E
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Mar 17, 2025 · Pattern — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Mar 17, 2025 · 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
The Oaks at Byron Center
23.6 km · Byron Center, MI
★★★★★
CMS
24th
Risk %ile
Lower risk
Medilodge of Wyoming
15.3 km · Wyoming, MI
★★★★★
CMS
27th
Risk %ile
Lower risk
Porter Hills Health Center
9.1 km · Grand Rapids, MI
★★★★★
CMS
28th
Risk %ile
Lower risk