7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.7% high-severity citations

ChronicityElevated

82th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareElevated

97th national percentile — 32.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 28, 2025 · Widespread — 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: Jan 28, 2025 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jan 28, 2025 · Isolated — actual harm
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm↻ Repeat

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Sep 4, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jan 28, 2025 · Pattern — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Jan 22, 2024 · Widespread — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 22, 2024 · Pattern — 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 22, 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
Accura HealthCare of Hartington
13.2 km · Hartington, NE
★★★★★
CMS
38th
Risk %ile
Lower risk
Colonial Manor of Randolph
19.6 km · Randolph, NE
CMS
57th
Risk %ile
Similar risk