7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityWatch

61th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

12th national percentile — 10.1%

Contract staff shareElevated

95th national percentile — 24.4%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.71 vs expected 4.72 · −1.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Apr 24, 2025 · Pattern — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Apr 24, 2025 · Pattern — no actual harm with potential for more
F-0804
D
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Minimal Harm

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

Survey date: Apr 24, 2025 · Isolated — 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: Apr 24, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Apr 24, 2025 · Widespread — 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: Apr 24, 2025 · Widespread — no actual harm with potential for more
F-0711
F
Provide a written emergency evacuation plan
Potential Harm

Provide a written emergency evacuation plan.

Survey date: Apr 24, 2025 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: May 2, 2024 · 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
Pleasant Acres Care Center
21.1 km · Hull, IA
★★★
CMS
44th
Risk %ile
Similar risk