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

ChronicityModerate

49th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

24 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareWatch

63th national percentile — 3.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.40 vs expected 3.07 · +0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0925
F
Make sure there is a pest control program to prevent/deal with mice, ins…
Potential Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Aug 7, 2025 · Widespread — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 11, 2025 · 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: Mar 11, 2025 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Mar 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

24 citations on file
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: Mar 11, 2025 · Widespread — no actual harm with potential for more
F-0039
D
Conduct testing and exercise requirements
Minimal Harm

Conduct testing and exercise requirements.

Survey date: Mar 11, 2025 · Isolated — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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: Mar 11, 2025 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 11, 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
RIDGEVIEW TERRACE LONG TERM CARE
20.0 km · REEDSBURG, WI
★★★★★
CMS
18th
Risk %ile
Lower risk