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

ChronicityElevated

86th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropModerate

42th national percentile — 14.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.64 vs expected 3.53 · +0.11 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
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: Oct 2, 2025 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal 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: Oct 2, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Oct 2, 2025 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Oct 2, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0271
E
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Oct 2, 2025 · Pattern — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Oct 2, 2025 · Widespread — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Aug 15, 2024 · Isolated — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 15, 2024 · 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
PRIDE TLC THERAPY AND LIVING CAMPUS
11.8 km · WESTON, WI
★★★★★
CMS
23th
Risk %ile
Lower risk
PINE CREST HEALTH AND MEMORY CARE
24.1 km · MERRILL, WI
★★★★
CMS
45th
Risk %ile
Similar risk