7Risk Axes

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

How we calculate
SeverityWatch

57th national percentile — 4.1% high-severity citations

ChronicityElevated

95th national percentile — 31 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

32 citations

Weekend staffing dropLow

16th national percentile — 10.9%

Contract staff shareElevated

80th national percentile — 8.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.09 vs expected 3.24 · −0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

73 citations on file
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Apr 2, 2026 · Widespread — 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: Apr 2, 2026 · Isolated — no actual harm with potential for more
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: Apr 2, 2026 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Apr 2, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

32 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: Apr 2, 2026 · Widespread — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Apr 2, 2026 · Widespread — no actual harm with potential for more
F-0015
F
Address subsistence needs for staff and patients
Potential Harm

Address subsistence needs for staff and patients.

Survey date: Apr 2, 2026 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Apr 1, 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
The Orchards at Three Rivers
6.4 km · Three Rivers, MI
CMS
57th
Risk %ile
Similar risk