7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityModerate

49th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareElevated

73th national percentile — 6.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.35 vs expected 3.30 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0658
E
Ensure services provided by the nursing facility meet professional stand…
Potential Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Jun 11, 2024 · Pattern — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

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

Survey date: Jun 11, 2024 · Isolated — actual harm
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Jun 11, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0211
F
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: Jun 11, 2024 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Jun 11, 2024 · 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: Jun 11, 2024 · 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: Jun 11, 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
Pueblo Heights Nursing and Rehabilitation
2.4 km · PUEBLO, CO
★★★
CMS
42th
Risk %ile
Similar risk
LAKESHORE POST ACUTE AND REHABILITATION CENTER
10.1 km · PUEBLO, CO
★★★★
CMS
42th
Risk %ile
Similar risk
CENTER AT PARK WEST LLC, THE
6.1 km · PUEBLO, CO
★★★★
CMS
52th
Risk %ile
Similar risk