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

73th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

33 citations

Weekend staffing dropLow

13th national percentile — 10.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.28 vs expected 3.09 · +0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Nov 24, 2025 · Isolated — no actual harm with potential for more
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Nov 24, 2025 · Isolated — no actual harm with potential for more
F-0628
E
Provide the required documentation or notification related to the reside…
Potential Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Nov 24, 2025 · Pattern — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Nov 24, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

33 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Nov 24, 2025 · Widespread — no actual harm
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 24, 2025 · Widespread — no actual harm with potential for more
F-0927
E
Have proper fire barriers, ventilation and signs for the transfilling of…
Potential Harm

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Survey date: Nov 24, 2025 · Pattern — no actual harm with potential for more
F-0921
F
Ensure that testing and maintenance of electrical equipment is performed…
Potential Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Nov 24, 2025 · 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
BARRINGTON OF CARMEL, THE
17.8 km · CARMEL, IN
★★★★★
CMS
27th
Risk %ile
Lower risk
ARLINGTON PLACE HEALTH CAMPUS
12.2 km · INDIANAPOLIS, IN
★★★★
CMS
28th
Risk %ile
Lower risk
FAIRWAY VILLAGE
20.5 km · INDIANAPOLIS, IN
★★★★★
CMS
30th
Risk %ile
Lower risk