7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityLow

20th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropElevated

89th national percentile — 22.1%

Contract staff shareWatch

65th national percentile — 3.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.85 vs expected 6.24 · −1.39 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: Jan 29, 2025 · Isolated — immediate jeopardy
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: Jan 29, 2025 · Isolated — no actual harm with potential for more
F-0919
F
Make sure that a working call system is available in each resident's ba…
Potential Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Jan 29, 2025 · Widespread — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm↻ Repeat

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

Survey date: Mar 13, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0020
C
Establish policies and procedures including evacuation
Minimal Harm

Establish policies and procedures including evacuation.

Survey date: May 29, 2025 · Widespread — no actual harm
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 29, 2025 · Isolated — no actual harm with potential for more
F-0354
C
Follow proper procedures when the automatic sprinkler systems was out of…
Minimal Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: May 29, 2025 · Widespread — no actual harm
F-0374
F
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: May 29, 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
Good Shepherd Lutheran Home
16.0 km · RUSHFORD, MN
★★★★★
CMS
43th
Risk %ile
Similar risk