7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.1% high-severity citations

ChronicityModerate

35th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

94th national percentile — 24.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.52 vs expected 3.77 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

56 citations on file
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Dec 16, 2025 · Isolated — no actual harm with potential for more
F-0801
F
Employ sufficient staff with the appropriate competencies and skills set…
Potential Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey date: Mar 21, 2025 · Widespread — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 21, 2025 · Widespread — no actual harm with potential for more
F-0881
D
Implement a program that monitors antibiotic use
Minimal Harm

Implement a program that monitors antibiotic use.

Survey date: Mar 21, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Mar 21, 2025 · Widespread — no actual harm with potential for more
F-0523
D
Ensure that HVAC heat units are suspended and out of the reach of patien…
Minimal Harm

Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.

Survey date: Jan 29, 2024 · Isolated — no actual harm with potential for more
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm↻ Repeat

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Jan 29, 2024 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jan 29, 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
WATHENA HEALTHCARE & REHABILITATION CENTER
13.1 km · WATHENA, KS
★★★
CMS
33th
Risk %ile
Lower risk