7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.7% high-severity citations

ChronicityElevated

94th national percentile — 25 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropModerate

47th national percentile — 15.2%

Contract staff shareElevated

97th national percentile — 31.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.79 vs expected 3.40 · +0.38 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

60 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jan 28, 2026 · Isolated — no actual harm with potential for more
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: Jan 28, 2026 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

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

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0035
F
Provide family notifications of emergency plan
Potential Harm

Provide family notifications of emergency plan.

Survey date: Jan 27, 2025 · Widespread — no actual harm with potential for more
F-0013
F
Develop Emergency Preparedness policies and procedures
Potential Harm

Develop Emergency Preparedness policies and procedures.

Survey date: Jan 27, 2025 · Widespread — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jan 27, 2025 · 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: Jan 27, 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
Clement Manor Health Care Center
12.0 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
19.7 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk
ST FRANCIS HEALTH SERVICES
21.6 km · SAINT FRANCIS, WI
★★★
CMS
39th
Risk %ile
Lower risk