7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropElevated

80th national percentile — 19.9%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.43 vs expected 4.34 · +0.09 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Apr 11, 2025 · Isolated — no actual harm with potential for more
F-0565
D
Honor the resident's right to organize and participate in resident/famil…
Minimal Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Apr 11, 2025 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Apr 11, 2025 · Isolated — no actual harm with potential for more
F-0770
D
Provide timely, quality laboratory services/tests to meet the needs of r…
Minimal Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey date: Apr 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 11, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Apr 11, 2025 · Pattern — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jun 26, 2024 · Isolated — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jun 26, 2024 · 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
ALTA MESA HEALTH AND REHABILITATION
18.9 km · MESA, AZ
★★★★★
CMS
24th
Risk %ile
Lower risk
MISSION PALMS POST ACUTE
20.0 km · MESA, AZ
★★★★
CMS
27th
Risk %ile
Lower risk
Wellsprings of Gilbert
14.2 km · GILBERT, AZ
★★★★★
CMS
29th
Risk %ile
Lower risk