7Risk Axes

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

How we calculate
SeverityWatch

58th national percentile — 4.2% high-severity citations

ChronicityWatch

61th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareElevated

80th national percentile — 9.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 5.06 vs expected 5.39 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
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: Sep 24, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Sep 24, 2025 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Sep 24, 2025 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Sep 24, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Sep 24, 2025 · Widespread — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 10, 2024 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 10, 2024 · Isolated — no actual harm with potential for more
F-0711
C
Provide a written emergency evacuation plan
Minimal Harm

Provide a written emergency evacuation plan.

Survey date: Jul 10, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
FREDERIC NURSING AND REHAB COMMUNITY
8.2 km · FREDERIC, WI
★★★★
CMS
47th
Risk %ile
Similar risk