7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 7.0% high-severity citations

ChronicityElevated

98th national percentile — 27 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropElevated

70th national percentile — 18.1%

Contract staff shareElevated

98th national percentile — 34.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.54 vs expected 4.35 · +0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

57 citations on file
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Apr 20, 2026 · Pattern — no actual harm with potential for more
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

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

Survey date: Apr 20, 2026 · Isolated — immediate jeopardy
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Apr 20, 2026 · Isolated — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Apr 20, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
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: Jan 29, 2025 · Isolated — 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: Jan 29, 2025 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jan 29, 2025 · Isolated — 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: Jan 29, 2025 · 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
Complete Care at Germantown
24.1 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
Cedar Lake Health and Rehab Center
10.6 km · West Bend, WI
★★★★
CMS
45th
Risk %ile
Similar risk
Cedarburg Health Services
13.0 km · Cedarburg, WI
★★★
CMS
45th
Risk %ile
Similar risk