7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityLow

12th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyClean

None on file

Weekend staffing dropModerate

47th national percentile — 15.1%

Contract staff shareElevated

93th national percentile — 21.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.54 vs expected 4.45 · −0.91 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Jan 29, 2026 · Pattern — no actual harm with potential for more
F-0700
E
Try different approaches before using a bed rail
Potential Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: May 21, 2025 · Pattern — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

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

Survey date: May 21, 2025 · 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: May 21, 2025 · 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
17.0 km · WEBSTER, SD
★★★★★
CMS
38th
Risk %ile
Lower risk