7Risk Axes

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

How we calculate
SeverityElevated

89th national percentile — 14.3% high-severity citations

ChronicityElevated

84th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropElevated

88th national percentile — 21.8%

Contract staff shareElevated

98th national percentile — 34.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 5.35 vs expected 5.68 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Mar 27, 2026 · Isolated — actual harm
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Mar 27, 2026 · 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: Mar 27, 2026 · Isolated — no actual harm with potential for more
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: Mar 27, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 22, 2025 · Isolated — no actual harm with potential for more
F-0541
F
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Apr 22, 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: Apr 22, 2025 · Widespread — no actual harm with potential for more
F-0926
F
Ensure that personnel concerned with handling of medical gases and cylin…
Potential Harm

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Survey date: Apr 22, 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
EDENBROOK ROCHESTER WEST
3.8 km · ROCHESTER, MN
★★
CMS
45th
Risk %ile
Similar risk
Charter House Inc
6.5 km · ROCHESTER, MN
★★★★★
CMS
47th
Risk %ile
Similar risk
MADONNA TOWERS OF ROCHESTER
2.0 km · ROCHESTER, MN
★★★★
CMS
55th
Risk %ile
Similar risk