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

ChronicityElevated

75th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

9th national percentile — 9.2%

Contract staff shareModerate

49th national percentile — 0.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.32 vs expected 4.58 · −0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 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: Jan 20, 2026 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm↻ Repeat

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

Survey date: Feb 20, 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: Feb 20, 2025 · Isolated — no actual harm with potential for more
F-0640
D
Encode each resident’s assessment data and transmit these data to the St…
Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Feb 20, 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-0001
D
Establish an Emergency Preparedness Program (EP)
Minimal Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Feb 20, 2025 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 20, 2025 · Isolated — no actual harm with potential for more
F-0912
D
Have power receptacles that are properly grounded
Minimal Harm

Have power receptacles that are properly grounded.

Survey date: Feb 20, 2025 · Isolated — no actual harm with potential for more
F-0914
D
Ensure receptacles at patient bed locations and where general anesthesia…
Minimal Harm

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Survey date: Feb 20, 2025 · Isolated — 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
LAKEVIEW HEALTH CENTER
21.4 km · WEST SALEM, WI
★★★★
CMS
38th
Risk %ile
Lower risk