7Risk Axes

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

How we calculate
SeverityElevated

80th national percentile — 9.7% high-severity citations

ChronicityElevated

72th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropLow

22th national percentile — 11.9%

Contract staff shareElevated

89th national percentile — 15.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.32 vs expected 3.34 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0804
E
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Potential Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0812
E
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: Dec 4, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0161
K
Use approved construction type or materials
Actual Harm

Use approved construction type or materials.

Survey date: Dec 4, 2025 · Pattern — immediate jeopardy
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: Dec 4, 2025 · Widespread — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Dec 4, 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
Pueblo Heights Nursing and Rehabilitation
1.7 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
LAKESHORE POST ACUTE AND REHABILITATION CENTER
7.7 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
5.8 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk