7Risk Axes

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

How we calculate
SeverityWatch

59th national percentile — 4.3% high-severity citations

ChronicityElevated

76th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

30 citations

Weekend staffing dropModerate

37th national percentile — 14.0%

Contract staff shareWatch

51th national percentile — 0.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.56 vs expected 5.09 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jul 7, 2025 · Isolated — 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: Jul 7, 2025 · Widespread — no actual harm with potential for more
F-0623
D
Provide timely notification to the resident, and if applicable to the re…
Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0625
D
Notify the resident or the resident’s representative in writing how long…
Minimal Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

30 citations on file
F-0022
F
Establish policies and procedures for sheltering
Potential Harm

Establish policies and procedures for sheltering.

Survey date: Dec 18, 2024 · Widespread — no actual harm with potential for more
F-0753
E
Have restrictions on the use of highly flammable decorations
Potential Harm

Have restrictions on the use of highly flammable decorations.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Dec 18, 2024 · 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
St Paul Elder Services, Inc
12.0 km · Kaukauna, WI
★★★★★
CMS
24th
Risk %ile
Lower risk
Brewster Village
5.3 km · Appleton, WI
★★★★
CMS
40th
Risk %ile
Similar risk
Edenbrook of Appleton North
5.8 km · Appleton, WI
★★★
CMS
46th
Risk %ile
Similar risk