7Risk Axes

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

How we calculate
SeverityWatch

56th national percentile — 3.8% high-severity citations

ChronicityElevated

95th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

99th national percentile — 31.3%

Contract staff shareElevated

81th national percentile — 9.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.56 vs expected 2.79 · +0.76 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0583
D
Keep residents' personal and medical records private and confidential
Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey date: Mar 11, 2026 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Mar 11, 2026 · Pattern — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Mar 11, 2026 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Mar 11, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0041
C
Implement emergency and standby power systems
Minimal Harm

Implement emergency and standby power systems.

Survey date: Mar 11, 2026 · Widespread — no actual harm
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Mar 11, 2026 · Pattern — no actual harm with potential for more
F-0325
E
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Mar 11, 2026 · Pattern — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Mar 11, 2026 · 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
HICKORY CREEK AT COLUMBUS
4.1 km · COLUMBUS, IN
★★★★★
CMS
29th
Risk %ile
Lower risk
FOUR SEASONS RETIREMENT CENTER
3.4 km · COLUMBUS, IN
★★★★★
CMS
41th
Risk %ile
Similar risk
SILVER OAKS HEALTH CAMPUS
728 m · COLUMBUS, IN
★★★★
CMS
44th
Risk %ile
Similar risk