7Risk Axes

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

How we calculate
SeverityWatch

66th national percentile — 5.8% high-severity citations

ChronicityElevated

85th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

26 citations

Weekend staffing dropLow

8th national percentile — 9.1%

Contract staff shareElevated

72th national percentile — 5.6%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 2.82 vs expected 3.17 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

52 citations on file
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: Aug 20, 2025 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Aug 20, 2025 · Isolated — no actual harm with potential for more
F-0883
E
Develop and implement policies and procedures for flu and pneumonia vacc…
Potential Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more
F-0868
D
Have the Quality Assessment and Assurance group have the required member…
Minimal Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey date: Aug 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

26 citations on file
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Aug 20, 2025 · Widespread — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Aug 20, 2025 · Widespread — no actual harm with potential for more
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: Aug 20, 2025 · Isolated — 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: Aug 20, 2025 · 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
DOWNS CARE AND REHAB
14.1 km · DOWNS, KS
★★★★★
CMS
35th
Risk %ile
Lower risk