7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.5% high-severity citations

ChronicityElevated

96th national percentile — 52 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

46 citations

Weekend staffing dropModerate

46th national percentile — 15.0%

Contract staff shareModerate

38th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 4.69 vs expected 4.76 · −0.07 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

118 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Feb 6, 2026 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
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: Dec 4, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

46 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Dec 4, 2025 · Widespread — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Dec 4, 2025 · Pattern — no actual harm with potential for more
F-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Dec 4, 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
Lake Mills Health Services
17.9 km · LAKE MILLS, WI
★★★
CMS
46th
Risk %ile
Similar risk