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 — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.70 vs expected 3.99 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: May 7, 2025 · Isolated — no actual harm with potential for more
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Apr 1, 2025 · Isolated — no actual harm with potential for more
F-0603
D
Protect each resident from separation (from other residents, his/her roo…
Minimal Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey date: Apr 1, 2025 · Isolated — no actual harm with potential for more
F-0568
D
Properly hold, secure, and manage each resident's personal money which i…
Minimal Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey date: Mar 7, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 7, 2025 · Widespread — 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 7, 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: Mar 7, 2025 · Pattern — no actual harm with potential for more
F-0916
F
Have a battery powered remote alarm panel in a location accessible by op…
Potential Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Mar 7, 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
YORKTOWN MANOR
4.6 km · YORKTOWN, IN
★★★★
CMS
23th
Risk %ile
Lower risk
MIDDLETOWN NURSING AND REHABILITATION CENTER
18.2 km · MIDDLETOWN, IN
★★★★
CMS
27th
Risk %ile
Lower risk
WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE
17.2 km · MIDDLETOWN, IN
★★★★
CMS
28th
Risk %ile
Lower risk