7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityLow

18th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

41 citations

Weekend staffing dropModerate

38th national percentile — 14.1%

Contract staff shareWatch

69th national percentile — 4.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.62 vs expected 3.76 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Dec 4, 2024 · 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: Dec 4, 2024 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Dec 4, 2024 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Dec 4, 2024 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

41 citations on file
F-0211
F
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: Dec 4, 2024 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Dec 4, 2024 · Widespread — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Dec 4, 2024 · Widespread — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Dec 4, 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
WINFIELD SENIOR LIVING COMMUNITY
860 m · WINFIELD, KS
★★
CMS
43th
Risk %ile
Similar risk