7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityModerate

49th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

32 citations

Weekend staffing dropElevated

83th national percentile — 20.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.52 vs expected 3.49 · +0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Apr 9, 2026 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Apr 9, 2026 · Isolated — no actual harm with potential for more
F-0695
G
Provide safe and appropriate respiratory care for a resident when needed…
Actual Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Apr 9, 2026 · Isolated — actual harm
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: Apr 9, 2026 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

32 citations on file
F-0211
E
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: Apr 9, 2026 · Pattern — no actual harm with potential for more
F-0331
E
Construct fire resistant interior walls
Potential Harm

Construct fire resistant interior walls.

Survey date: Apr 9, 2026 · Pattern — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Apr 9, 2026 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 9, 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
Avina of Sun Prairie
18.2 km · Sun Prairie, WI
★★★★★
CMS
28th
Risk %ile
Lower risk
OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER
14.8 km · MADISON, WI
★★★
CMS
33th
Risk %ile
Lower risk
CAPITOL LAKES HEALTH CENTER
14.1 km · MADISON, WI
★★★
CMS
44th
Risk %ile
Similar risk