7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 26.5% high-severity citations

ChronicityModerate

38th national percentile — 17 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

76th national percentile — 19.1%

Contract staff shareWatch

57th national percentile — 1.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.44 vs expected 3.29 · +0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

98 citations on file
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 3, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 3, 2025 · 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: Feb 3, 2025 · Isolated — no actual harm with potential for more
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Feb 3, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 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: Feb 3, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Jan 11, 2024 · Widespread — no actual harm with potential for more
F-0036
D
Establish emergency prep training and testing
Minimal Harm

Establish emergency prep training and testing.

Survey date: Apr 13, 2022 · Isolated — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Apr 13, 2022 · 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
Aspen Ridge Transitional Rehab
4.8 km · Murray, UT
★★★★★
CMS
25th
Risk %ile
Lower risk
Little Cottonwood Rehabilitation and Nursing
5.7 km · South Salt Lake, UT
★★★★★
CMS
25th
Risk %ile
Lower risk
Copper Ridge Health Care
14.8 km · West Jordan, UT
★★★★★
CMS
32th
Risk %ile
Lower risk