7Risk Axes

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

How we calculate
SeverityWatch

65th national percentile — 5.6% high-severity citations

ChronicityLow

23th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

30 citations

Weekend staffing dropLow

0th national percentile — -4.8%

Contract staff shareElevated

99th national percentile — 42.9%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 0.37 vs expected 0.45 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Nov 21, 2024 · Pattern — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Nov 21, 2024 · Isolated — 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: Nov 21, 2024 · Isolated — no actual harm with potential for more
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: Nov 21, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

30 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Nov 21, 2024 · Isolated — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Nov 21, 2024 · Isolated — no actual harm with potential for more
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Nov 21, 2024 · Isolated — no actual harm with potential for more
F-0907
F
Ensure medical gas and vacuum systems have documented maintenance progra…
Potential Harm

Ensure medical gas and vacuum systems have documented maintenance programs.

Survey date: Nov 21, 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
HAMPDEN HILLS POST ACUTE
10.4 km · AURORA, CO
★★
CMS
23th
Risk %ile
Lower risk
BETH ISRAEL AT SHALOM PARK
13.7 km · AURORA, CO
★★★★★
CMS
27th
Risk %ile
Lower risk
VI AT HIGHLANDS RANCH SKILLED NURSING
24.0 km · HIGHLANDS RANCH, CO
★★★★★
CMS
27th
Risk %ile
Lower risk