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 — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

11th national percentile — 9.8%

Contract staff shareElevated

98th national percentile — 36.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.91 vs expected 4.50 · −0.59 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0730
E
Observe each nurse aide's job performance and give regular training
Potential Harm

Observe each nurse aide's job performance and give regular training.

Survey date: Mar 6, 2025 · Pattern — 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: Mar 6, 2025 · Isolated — no actual harm with potential for more
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

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

Survey date: Mar 6, 2025 · Isolated — no actual harm with potential for more
F-0622
D
Not transfer or discharge a resident without an adequate reason; and mus…
Minimal Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey date: Mar 6, 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-0001
F
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Mar 6, 2025 · Widespread — no actual harm with potential for more
F-0015
F
Address subsistence needs for staff and patients
Potential Harm

Address subsistence needs for staff and patients.

Survey date: Mar 6, 2025 · Widespread — no actual harm with potential for more
F-0036
F
Establish emergency prep training and testing
Potential Harm

Establish emergency prep training and testing.

Survey date: Mar 6, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Mar 6, 2025 · 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
SUNNY VISTA LIVING CENTER
14.3 km · COLORADO SPRINGS, CO
★★★
CMS
31th
Risk %ile
Lower risk
GARDENS, THE
9.9 km · COLORADO SPRINGS, CO
★★★★★
CMS
38th
Risk %ile
Lower risk
LIBERTY HEIGHTS
10.2 km · COLORADO SPRINGS, CO
★★★★
CMS
39th
Risk %ile
Lower risk