7Risk Axes

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

How we calculate
SeverityElevated

87th national percentile — 13.0% high-severity citations

ChronicityElevated

89th national percentile — 17 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareElevated

77th national percentile — 7.7%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.02 vs expected 4.68 · −0.66 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

46 citations on file
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

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

Survey date: Feb 16, 2026 · Isolated — immediate jeopardy
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm↻ Repeat

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

Survey date: Dec 1, 2025 · Isolated — no actual harm with potential for more
F-0730
D
Observe each nurse aide's job performance and give regular training
Minimal Harm

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

Survey date: May 29, 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: May 29, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Dec 5, 2024 · 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: Dec 5, 2024 · Widespread — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Dec 5, 2024 · Pattern — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Dec 5, 2024 · 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
BADGER PRAIRIE HCC
21.6 km · VERONA, WI
★★★★★
CMS
44th
Risk %ile
Similar risk
FOUR WINDS MANOR
20.8 km · VERONA, WI
★★
CMS
45th
Risk %ile
Similar risk
MONROE HEALTH SERVICES
23.5 km · MONROE, WI
★★★★
CMS
53th
Risk %ile
Similar risk