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

ChronicityLow

20th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

88th national percentile — 22.0%

Contract staff shareElevated

82th national percentile — 10.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 4.22 vs expected 4.35 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Aug 1, 2024 · 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: Aug 1, 2024 · Isolated — no actual harm with potential for more
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: Aug 1, 2024 · Isolated — no actual harm with potential for more
F-0740
D
Ensure each resident must receive and the facility must provide necessar…
Minimal Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Aug 1, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jun 12, 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: Aug 1, 2024 · Widespread — no actual harm with potential for more
F-0354
F
Follow proper procedures when the automatic sprinkler systems was out of…
Potential Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Aug 1, 2024 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm↻ Repeat

Have simulated fire drills held at unexpected times.

Survey date: Aug 1, 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
Sunrise Terrace Nursing & Rehabilitation Center
18.6 km · Winfield, IA
★★★★★
CMS
23th
Risk %ile
Lower risk
Savannah Heights
23.7 km · Mount Pleasant, IA
★★★★
CMS
40th
Risk %ile
Similar risk