7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityWatch

61th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropWatch

64th national percentile — 17.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.33 vs expected 3.86 · +0.48 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 23, 2026 · Widespread — no actual harm with potential for more
F-0883
D
Develop and implement policies and procedures for flu and pneumonia vacc…
Minimal Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: Mar 23, 2026 · Isolated — no actual harm with potential for more
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Dec 18, 2024 · 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: Dec 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
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: Mar 23, 2026 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Mar 23, 2026 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 23, 2026 · 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: Mar 23, 2026 · Isolated — 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
ELKHART MEADOWS
17.8 km · ELKHART, IN
★★★★★
CMS
31th
Risk %ile
Lower risk
GREENLEAF HEALTH CAMPUS
20.8 km · ELKHART, IN
★★★
CMS
32th
Risk %ile
Lower risk
HUBBARD HILL ESTATES INC
19.4 km · ELKHART, IN
★★★★★
CMS
39th
Risk %ile
Lower risk