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

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropModerate

45th national percentile — 14.9%

Contract staff shareElevated

90th national percentile — 16.7%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 5.44 vs expected 6.69 · −1.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Mar 31, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 31, 2025 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Mar 31, 2025 · Isolated — no actual harm with potential for more
F-0730
F
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 31, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: Mar 31, 2025 · Widespread — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Mar 31, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Mar 31, 2025 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 31, 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
LARKSFIELD PLACE
7.8 km · WICHITA, KS
★★★★★
CMS
35th
Risk %ile
Lower risk
VILLA MARIA
22.3 km · MULVANE, KS
★★★★★
CMS
36th
Risk %ile
Lower risk
REGENT PARK REHABILITATION AND HEALTHCARE
7.9 km · WICHITA, KS
★★★★★
CMS
37th
Risk %ile
Lower risk