7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityModerate

48th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropElevated

94th national percentile — 23.9%

Contract staff shareWatch

67th national percentile — 4.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.24 vs expected 3.31 · −0.07 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0800
E
Provide each resident with a nourishing, palatable, well-balanced diet t…
Potential Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey date: Apr 22, 2026 · Pattern — no actual harm with potential for more
F-0838
F
Conduct and document a facility-wide assessment to determine what resour…
Potential Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey date: Apr 22, 2026 · Widespread — 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-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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Jan 15, 2026 · Widespread — no actual harm with potential for more
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Jan 15, 2026 · Isolated — no actual harm with potential for more
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jan 15, 2026 · Isolated — no actual harm with potential for more
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: Jan 15, 2026 · 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
Life Care Center of Cheyenne
4.0 km · Cheyenne, WY
★★★★★
CMS
39th
Risk %ile
Lower risk
Granite Rehabilitation and Wellness
278 m · Cheyenne, WY
★★
CMS
44th
Risk %ile
Similar risk