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

ChronicityModerate

30th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

21th national percentile — 11.8%

Contract staff shareWatch

65th national percentile — 3.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.19 vs expected 3.61 · −0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0645
E
PASARR screening for Mental disorders or Intellectual Disabilities
Potential Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Mar 19, 2026 · Pattern — no actual harm with potential for more
F-0692
D
Provide enough food/fluids to maintain a resident's health
Minimal Harm

Provide enough food/fluids to maintain a resident's health.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0809
E
Ensure meals and snacks are served at times in accordance with resident’…
Potential Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey date: Mar 19, 2026 · Pattern — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0753
D
Have restrictions on the use of highly flammable decorations
Minimal Harm

Have restrictions on the use of highly flammable decorations.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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: Dec 4, 2024 · Pattern — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Dec 4, 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
Morningside Health Services
3.3 km · Sheboygan, WI
★★★★
CMS
31th
Risk %ile
Lower risk
Sheboygan Senior Community Inc
3.6 km · Sheboygan, WI
★★
CMS
34th
Risk %ile
Lower risk