7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 28.6% high-severity citations

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

77th national percentile — 19.4%

Contract staff shareElevated

73th national percentile — 5.9%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 5.20 vs expected 5.66 · −0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0757
G
Ensure each resident’s drug regimen must be free from unnecessary drugs
Actual Harm

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

Survey date: Jan 27, 2026 · Isolated — actual harm
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: Jan 27, 2026 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Sep 18, 2024 · 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 18, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0029
F
Develop a communication plan
Potential Harm

Develop a communication plan.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0342
F
Have a complete alarm system manually initiated and initiated by fire sp…
Potential Harm

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Survey date: Jan 27, 2026 · Widespread — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Jan 27, 2026 · 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: Jan 27, 2026 · Pattern — 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
MINERAL POINT HEALTH SERVICES
10.8 km · MINERAL POINT, WI
★★★★
CMS
36th
Risk %ile
Lower risk
GREENWAY MANOR
24.9 km · SPRING GREEN, WI
★★★★
CMS
41th
Risk %ile
Similar risk