7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityModerate

36th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

25 citations

Weekend staffing dropElevated

70th national percentile — 18.2%

Contract staff shareElevated

80th national percentile — 8.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.07 vs expected 3.27 · −0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Jun 25, 2025 · Isolated — no actual harm with potential for more
F-0760
J
Ensure that residents are free from significant medication errors
Actual Harm↻ Repeat

Ensure that residents are free from significant medication errors.

Survey date: Apr 7, 2025 · Isolated — immediate jeopardy
F-0921
F
Make sure that the nursing home area is safe, easy to use, clean and com…
Potential Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Oct 16, 2024 · Widespread — no actual harm with potential for more
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Apr 11, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

25 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Apr 11, 2024 · Isolated — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Apr 11, 2024 · Widespread — no actual harm with potential for more
F-0231
D
Provide large enough exits
Minimal Harm

Provide large enough exits.

Survey date: Apr 11, 2024 · Isolated — no actual harm with potential for more
F-0911
F
Meet requirements for the installation and maintenance of electrical sys…
Potential Harm

Meet requirements for the installation and maintenance of electrical systems.

Survey date: Apr 11, 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
COLUMBINE COMMONS HEALTH AND REHAB LLC
18.5 km · WINDSOR, CO
★★★★★
CMS
36th
Risk %ile
Lower risk
FAIRACRES MANOR, INC.
1.7 km · GREELEY, CO
★★★★
CMS
41th
Risk %ile
Similar risk
GRACE POINTE CONT CARE SR CAMPUS, SKILLED NURSING
5.1 km · GREELEY, CO
★★★★★
CMS
48th
Risk %ile
Similar risk