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

ChronicityModerate

36th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

89th national percentile — 22.0%

Contract staff shareWatch

53th national percentile — 1.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.88 vs expected 6.09 · −1.21 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0732
C
Post nurse staffing information every day
Minimal Harm

Post nurse staffing information every day.

Survey date: Dec 18, 2025 · Widespread — no actual harm
F-0865
F
Have a plan that describes the process for conducting QAPI and QAA acti…
Potential Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey date: Dec 18, 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: Dec 18, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Dec 18, 2025 · Widespread — no actual harm with potential for more
F-0321
F
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: Dec 18, 2025 · Widespread — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Dec 18, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 18, 2025 · 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
Fairview Manor
22.9 km · Fairmont, NE
★★★★★
CMS
34th
Risk %ile
Lower risk
Harvard Rest Haven
19.6 km · Harvard, NE
★★★★★
CMS
38th
Risk %ile
Lower risk
Heritage Crossings
24.2 km · Geneva, NE
★★★★★
CMS
39th
Risk %ile
Lower risk