7Risk Axes

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

How we calculate
SeverityModerate

47th national percentile — 2.0% high-severity citations

ChronicityWatch

68th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

31 citations

Weekend staffing dropModerate

49th national percentile — 15.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.99 vs expected 4.52 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

51 citations on file
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: Dec 3, 2025 · Widespread — 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: Dec 3, 2025 · Pattern — no actual harm with potential for more
F-0881
F
Implement a program that monitors antibiotic use
Potential Harm

Implement a program that monitors antibiotic use.

Survey date: Dec 3, 2025 · Widespread — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 3, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

31 citations on file
F-0031
F
Provide emergency officials' contact information
Potential Harm

Provide emergency officials' contact information.

Survey date: Dec 3, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 3, 2025 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Dec 3, 2025 · Widespread — no actual harm with potential for more
F-0920
F
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Dec 3, 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
LAWRENCE MEMORIAL HOSPITAL SNF
5.2 km · LAWRENCE, KS
★★★★
CMS
25th
Risk %ile
Lower risk
BALDWIN HEALTHCARE & REHAB CENTER, LLC
23.6 km · BALDWIN CITY, KS
★★★★★
CMS
39th
Risk %ile
Lower risk
LAWRENCE PRESBYTERIAN MANOR
2.5 km · LAWRENCE, KS
★★★★
CMS
42th
Risk %ile
Similar risk