7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityModerate

30th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

93th national percentile — 23.6%

Contract staff shareWatch

54th national percentile — 1.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.33 vs expected 3.56 · −0.23 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Sep 23, 2025 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Sep 23, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Jun 26, 2025 · 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: Jun 26, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 26, 2025 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

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

Survey date: Jun 26, 2025 · 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: Dec 12, 2023 · Isolated — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

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

Survey date: Dec 12, 2023 · Isolated — 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
GREEN HOUSE HOMES AT MIRASOL, THE
20.8 km · LOVELAND, CO
★★★★★
CMS
28th
Risk %ile
Lower risk
GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE
9.4 km · FORT COLLINS, CO
★★★★★
CMS
35th
Risk %ile
Lower risk
COLUMBINE COMMONS HEALTH AND REHAB LLC
14.6 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk