7Risk Axes

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

How we calculate
SeverityWatch

55th national percentile — 3.6% high-severity citations

ChronicityModerate

40th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareElevated

91th national percentile — 18.2%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.29 vs expected 4.12 · −0.83 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jul 18, 2025 · Isolated — 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: Apr 16, 2025 · Isolated — no actual harm with potential for more
F-0867
F
Set up an ongoing quality assessment and assurance group to review quali…
Potential Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Apr 16, 2025 · Widespread — 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: Apr 16, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Apr 16, 2025 · Widespread — no actual harm with potential for more
F-0362
D
Ensure that corridors are separated from use areas by walls constructed …
Minimal Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: Jan 31, 2024 · Isolated — no actual harm with potential for more
F-0918
C
Have generator or other power source capable of supplying service within…
Minimal Harm

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

Survey date: Jan 31, 2024 · Widespread — no actual harm
F-0712
C
Have simulated fire drills held at unexpected times
Minimal Harm↻ Repeat

Have simulated fire drills held at unexpected times.

Survey date: Feb 9, 2023 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
GOOD SAMARITAN SOCIETY - WESTBROOK
25.0 km · WESTBROOK, MN
★★★
CMS
36th
Risk %ile
Lower risk