7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 28.6% high-severity citations

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

38 citations

Weekend staffing dropWatch

69th national percentile — 18.0%

Contract staff shareElevated

77th national percentile — 7.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 5.95 vs expected 6.26 · −0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Nov 21, 2024 · Isolated — actual harm
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Nov 21, 2024 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 21, 2024 · Pattern — 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↻ Repeat

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

Survey date: Jul 31, 2023 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

38 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Nov 21, 2024 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 21, 2024 · Widespread — no actual harm with potential for more
F-0753
F
Have restrictions on the use of highly flammable decorations
Potential Harm

Have restrictions on the use of highly flammable decorations.

Survey date: Nov 21, 2024 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Nov 21, 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
HAMPDEN HILLS POST ACUTE
10.5 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
6.4 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
9.0 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk