7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityElevated

71th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropLow

13th national percentile — 10.3%

Contract staff shareElevated

80th national percentile — 8.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 4.89 vs expected 5.05 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Apr 16, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 16, 2025 · Pattern — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Aug 22, 2024 · Widespread — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Sep 12, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Apr 16, 2025 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 16, 2025 · Widespread — no actual harm with potential for more
F-0531
F
Have elevators that firefighters can control in the event of a fire
Potential Harm

Have elevators that firefighters can control in the event of a fire.

Survey date: Apr 16, 2025 · Widespread — no actual harm with potential for more
F-0754
E
Provide properly sized and located linen or trash receptacles
Potential Harm

Provide properly sized and located linen or trash receptacles.

Survey date: Apr 16, 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
Evergreen Health Center
6.3 km · Oshkosh, WI
★★★★
CMS
35th
Risk %ile
Lower risk
Brewster Village
22.7 km · Appleton, WI
★★★★
CMS
40th
Risk %ile
Similar risk
Oakridge Gardens Nur Ctr, Inc
19.4 km · Menasha, WI
★★★★
CMS
47th
Risk %ile
Similar risk