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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropWatch

53th national percentile — 15.8%

Contract staff shareElevated

88th national percentile — 14.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.39 vs expected 3.20 · +0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 8, 2026 · Isolated — no actual harm with potential for more
F-0578
F
Honor the resident's right to request, refuse, and/or discontinue treatm…
Potential Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Jan 8, 2026 · Widespread — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential 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: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Oct 17, 2019 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 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: Jan 8, 2026 · Widespread — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0712
E
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jan 8, 2026 · Pattern — 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: Jan 8, 2026 · 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
LORETTO LIVING CENTER AT LORETTO MOTHERHOUSE, INC
16.4 km · Nerinx, KY
★★★★★
CMS
32th
Risk %ile
Lower risk