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

30th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

24 citations

Weekend staffing dropLow

23th national percentile — 12.1%

Contract staff shareModerate

41th national percentile — 0.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.35 vs expected 3.96 · −0.61 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0660
D
Plan the resident's discharge to meet the resident's goals and needs
Minimal Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey date: Apr 7, 2025 · Isolated — no actual harm with potential for more
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: Apr 7, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Apr 7, 2025 · Isolated — no actual harm with potential for more
F-0623
E
Provide timely notification to the resident, and if applicable to the re…
Potential 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 7, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

24 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Apr 7, 2025 · Widespread — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Apr 7, 2025 · Isolated — no actual harm with potential for more
F-0331
E
Construct fire resistant interior walls
Potential Harm

Construct fire resistant interior walls.

Survey date: Apr 7, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 7, 2025 · 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
ELLSWORTH HEALTH SERVICES
23.7 km · ELLSWORTH, WI
★★★★★
CMS
34th
Risk %ile
Lower risk
NORRIS SQUARE
16.1 km · COTTAGE GROVE, MN
★★★★★
CMS
37th
Risk %ile
Lower risk