7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 16.2% high-severity citations

ChronicityElevated

77th national percentile — 23 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

40 citations

Weekend staffing dropLow

1th national percentile — 4.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.82 vs expected 2.37 · +0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

74 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jan 14, 2026 · Isolated — no actual harm with potential for more
F-0947
F
Ensure nurse aides have the skills they need to care for residents, and …
Potential Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more
F-0881
F
Implement a program that monitors antibiotic use
Potential Harm

Implement a program that monitors antibiotic use.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more
F-0867
F
Set up an ongoing quality assessment and assurance group to review quali…
Potential Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

40 citations on file
F-0023
F
Establish policies and procedures for medical documentation
Potential Harm

Establish policies and procedures for medical documentation.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more
F-0920
F
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jan 14, 2026 · Widespread — no actual harm with potential for more
F-0761
F
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: Jan 14, 2026 · 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
DOOLEY CENTER
22.6 km · ATCHISON, KS
★★★★★
CMS
32th
Risk %ile
Lower risk
F W HUSTON MEDICAL CENTER
11.0 km · WINCHESTER, KS
★★★
CMS
33th
Risk %ile
Lower risk
VALLEY HEALTH CARE CENTER
14.7 km · VALLEY FALLS, KS
★★★★
CMS
36th
Risk %ile
Lower risk