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

11 citations

Weekend staffing dropWatch

67th national percentile — 17.8%

Contract staff shareWatch

60th national percentile — 2.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.22 vs expected 4.43 · −0.21 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: May 15, 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: May 15, 2025 · Pattern — 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: May 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 31, 2026 · Widespread — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential 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: May 15, 2025 · Pattern — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: May 15, 2025 · Isolated — 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: May 15, 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
PRIDE TLC THERAPY AND LIVING CAMPUS
2.0 km · WESTON, WI
★★★★★
CMS
23th
Risk %ile
Lower risk