7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityElevated

84th national percentile — 17 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

28 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareWatch

54th national percentile — 1.3%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.53 vs expected 3.49 · +0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

50 citations on file
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Nov 21, 2025 · 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: Nov 21, 2025 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

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

Survey date: Nov 21, 2025 · Isolated — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Nov 21, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

28 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Nov 21, 2025 · Widespread — no actual harm with potential for more
F-0918
C
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Nov 21, 2025 · Widespread — no actual harm
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Nov 21, 2025 · Pattern — no actual harm with potential for more
F-0041
C
Implement emergency and standby power systems
Minimal Harm

Implement emergency and standby power systems.

Survey date: Nov 21, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
ELKHART MEADOWS
4.2 km · ELKHART, IN
★★★★★
CMS
31th
Risk %ile
Lower risk
GREENLEAF HEALTH CAMPUS
4.1 km · ELKHART, IN
★★★
CMS
32th
Risk %ile
Lower risk
CREEKSIDE VILLAGE
13.9 km · MISHAWAKA, IN
★★★★
CMS
34th
Risk %ile
Lower risk