7Risk Axes

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

How we calculate
SeverityWatch

65th national percentile — 5.6% high-severity citations

ChronicityLow

23th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 5.52 vs expected 5.82 · −0.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Oct 22, 2025 · Isolated — no actual harm with potential for more
F-0686
J
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

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

Survey date: Oct 22, 2025 · Isolated — immediate jeopardy
F-0645
E
PASARR screening for Mental disorders or Intellectual Disabilities
Potential Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Jul 29, 2025 · Pattern — no actual harm with potential for more
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Jul 29, 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-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jul 29, 2025 · Widespread — no actual harm with potential for more
F-0223
F
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: Jul 29, 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: Jul 29, 2025 · Widespread — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 29, 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
Avina of Sun Prairie
4.4 km · Sun Prairie, WI
★★★★★
CMS
28th
Risk %ile
Lower risk