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

ChronicityElevated

82th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropLow

16th national percentile — 10.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 4.53 vs expected 4.66 · −0.13 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Feb 12, 2025 · Isolated — no actual harm with potential for more
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Feb 12, 2025 · Isolated — no actual harm with potential for more
F-0757
E
Ensure each resident’s drug regimen must be free from unnecessary drugs
Potential Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Feb 12, 2025 · Pattern — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 12, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0001
F
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Feb 12, 2025 · Widespread — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Feb 12, 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: Feb 12, 2025 · Pattern — 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: Feb 12, 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
Edenbrook of Wisconsin Rapids
21.3 km · Wisconsin Rapids, WI
★★★★★
CMS
30th
Risk %ile
Lower risk