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

ChronicityElevated

82th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropWatch

50th national percentile — 15.6%

Contract staff shareElevated

98th national percentile — 33.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.84 vs expected 4.48 · −0.63 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
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: Apr 21, 2025 · Isolated — no actual harm with potential for more
F-0558
E
Reasonably accommodate the needs and preferences of each resident
Potential Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Dec 18, 2024 · Pattern — 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 18, 2024 · Pattern — no actual harm with potential for more
F-0281
E
Install proper backup exit lighting
Potential Harm

Install proper backup exit lighting.

Survey date: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0311
E
Have an enclosure around a vertical opening shaft
Potential Harm

Have an enclosure around a vertical opening shaft.

Survey date: Dec 18, 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
Harbor Haven Health & Rehabilitation
531 m · Fond du Lac, WI
★★★★★
CMS
27th
Risk %ile
Lower risk
HOPE HEALTH AND REHAB
21.1 km · LOMIRA, WI
★★★★
CMS
45th
Risk %ile
Similar risk
Avina of Fond du Lac
1.1 km · Fond du Lac, WI
★★
CMS
59th
Risk %ile
Similar risk