7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 15.8% high-severity citations

ChronicityModerate

34th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

19th national percentile — 11.4%

Contract staff shareElevated

83th national percentile — 10.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.75 vs expected 4.44 · −0.69 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0600
G
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 1, 2026 · Isolated — actual harm
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more
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: Feb 12, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 12, 2026 · Widespread — no actual harm with potential for more
F-0354
F
Follow proper procedures when the automatic sprinkler systems was out of…
Potential Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Jan 23, 2025 · Widespread — no actual harm with potential for more
F-0921
F
Ensure that testing and maintenance of electrical equipment is performed…
Potential Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Jan 23, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jan 25, 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
Regency Park Nursing & Rehab Center of Carroll
567 m · Carroll, IA
★★★★★
CMS
50th
Risk %ile
Similar risk