7Risk Axes

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

How we calculate
SeverityElevated

77th national percentile — 8.7% high-severity citations

ChronicityLow

18th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

100th national percentile — 31.7%

Contract staff shareElevated

97th national percentile — 30.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.87 vs expected 5.15 · −1.28 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0554
E
Allow residents to self-administer drugs if determined clinically approp…
Potential Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: May 8, 2025 · Pattern — no actual harm with potential for more
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: May 8, 2025 · Isolated — no actual harm with potential for more
F-0882
E
Designate a qualified infection preventionist to be responsible for the …
Potential Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey date: May 8, 2025 · Pattern — no actual harm with potential for more
F-0881
E
Implement a program that monitors antibiotic use
Potential Harm

Implement a program that monitors antibiotic use.

Survey date: May 8, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: May 8, 2025 · Isolated — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: May 8, 2025 · Isolated — no actual harm with potential for more
F-0233
C
Install resident room doors of proper design and width
Minimal Harm

Install resident room doors of proper design and width.

Survey date: Jan 4, 2024 · Widespread — no actual harm
F-0918
E
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 4, 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
Bethesda Home
17.3 km · WEBSTER, SD
★★★★★
CMS
38th
Risk %ile
Lower risk