7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 6.9% high-severity citations

ChronicityModerate

49th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

62 citations

Weekend staffing dropLow

1th national percentile — 5.0%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 3.52 vs expected 4.26 · −0.74 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 6, 2025 · Isolated — no actual harm with potential for more
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: Feb 6, 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: Feb 6, 2025 · Isolated — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Feb 6, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Implement emergency and standby power systems.

Survey date: Feb 6, 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: Feb 6, 2025 · Widespread — no actual harm with potential for more
F-0222
F
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Feb 6, 2025 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 6, 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
Brookestone of Papillion
20.5 km · Papillion, NE
★★★★★
CMS
39th
Risk %ile
Lower risk
Hillcrest Country Estates-Cottages
17.6 km · Papillion, NE
★★
CMS
42th
Risk %ile
Similar risk