7Risk Axes

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

How we calculate
SeverityElevated

73th national percentile — 7.5% high-severity citations

ChronicityWatch

54th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropWatch

55th national percentile — 16.1%

Contract staff shareElevated

93th national percentile — 21.1%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 3.41 vs expected 3.93 · −0.52 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 15, 2026 · Isolated — no actual harm with potential for more
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Jan 15, 2026 · 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: Jan 15, 2026 · 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: Jan 15, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0161
F
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Jan 15, 2026 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jan 15, 2026 · Widespread — no actual harm with potential for more
F-0927
E
Have proper fire barriers, ventilation and signs for the transfilling of…
Potential Harm

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Survey date: Jan 15, 2026 · 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: Jan 15, 2026 · 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
GREEN HOUSE HOMES AT MIRASOL, THE
16.6 km · LOVELAND, CO
★★★★★
CMS
28th
Risk %ile
Lower risk
GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE
16.3 km · FORT COLLINS, CO
★★★★★
CMS
35th
Risk %ile
Lower risk
COLUMBINE COMMONS HEALTH AND REHAB LLC
2.6 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk