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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

75th national percentile — 19.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.15 vs expected 4.04 · +0.11 hr/res/day

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0013
F
Develop Emergency Preparedness policies and procedures
Potential Harm

Develop Emergency Preparedness policies and procedures.

Survey date: Aug 28, 2025 · Widespread — no actual harm with potential for more
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: Aug 28, 2025 · Pattern — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Aug 28, 2025 · Pattern — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Aug 28, 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
The Oaks at Byron Center
12.8 km · Byron Center, MI
★★★★★
CMS
24th
Risk %ile
Lower risk