7Risk Axes

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

How we calculate
SeverityElevated

84th national percentile — 11.5% high-severity citations

ChronicityElevated

74th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropLow

9th national percentile — 9.4%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 4.14 vs expected 4.33 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

61 citations on file
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Jan 7, 2026 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jan 7, 2026 · Isolated — actual harm
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: Jun 13, 2025 · Isolated — no actual harm with potential for more
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: Jun 13, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0018
F
Establish procedures for tracking staff and patients during an emergency…
Potential Harm

Establish procedures for tracking staff and patients during an emergency.

Survey date: Nov 14, 2024 · Widespread — no actual harm with potential for more
F-0035
F
Provide family notifications of emergency plan
Potential Harm

Provide family notifications of emergency plan.

Survey date: Nov 14, 2024 · 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: Nov 14, 2024 · Widespread — no actual harm with potential for more
F-0132
E
Meet requirements for outpatient facilities located next to inpatient fa…
Potential Harm

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Survey date: Nov 14, 2024 · 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
Clement Manor Health Care Center
12.5 km · GREENFIELD, WI
★★★★★
CMS
25th
Risk %ile
Lower risk
Complete Care at Germantown
18.2 km · Germantown, WI
★★★★
CMS
35th
Risk %ile
Lower risk
St Ann Health and Rehabilitation Center
11.0 km · MILWAUKEE, WI
★★★★
CMS
38th
Risk %ile
Lower risk