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 — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

21th national percentile — 11.8%

Contract staff shareElevated

89th national percentile — 15.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.21 vs expected 3.23 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
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: Nov 25, 2025 · Isolated — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: May 27, 2025 · Pattern — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: May 27, 2025 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: May 27, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Jul 12, 2024 · Isolated — 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: Jul 12, 2024 · Pattern — no actual harm with potential for more
F-0522
F
Have an externally vented heating system
Potential Harm

Have an externally vented heating system.

Survey date: May 26, 2023 · Widespread — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: May 26, 2023 · 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
HICKORY CREEK AT COLUMBUS
10.7 km · COLUMBUS, IN
★★★★★
CMS
29th
Risk %ile
Lower risk
MORNING BREEZE RETIREMENT COMMUNITY AND HEALTHCARE
23.7 km · GREENSBURG, IN
★★★
CMS
33th
Risk %ile
Lower risk
WALDRON REHABILITATION AND HEALTHCARE CENTER
21.5 km · WALDRON, IN
★★
CMS
40th
Risk %ile
Similar risk