7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 17.1% high-severity citations

ChronicityElevated

79th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropWatch

56th national percentile — 16.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 2.99 vs expected 2.57 · +0.41 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Dec 11, 2025 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more
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: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
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 5, 2025 · Widespread — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal 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: Mar 21, 2024 · Isolated — no actual harm with potential for more
F-0331
D
Construct fire resistant interior walls
Minimal Harm

Construct fire resistant interior walls.

Survey date: Mar 21, 2024 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 21, 2024 · 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
LAKESHORE POST ACUTE AND REHABILITATION CENTER
2.0 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
Pueblo Heights Nursing and Rehabilitation
7.5 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
8.2 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk