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

20th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

54th national percentile — 15.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.49 vs expected 3.62 · −0.13 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
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: Jan 22, 2026 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Jan 22, 2026 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

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

Survey date: Jan 22, 2026 · Isolated — no actual harm with potential for more
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: Jul 18, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jan 22, 2026 · Isolated — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Sep 25, 2024 · Pattern — no actual harm with potential for more
F-0222
F
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Sep 25, 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: Sep 25, 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
Ecumen Lakeshore
14.8 km · DULUTH, MN
★★★★★
CMS
35th
Risk %ile
Lower risk