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

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropElevated

79th national percentile — 19.8%

Contract staff shareElevated

82th national percentile — 10.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.60 vs expected 4.12 · −0.52 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Oct 24, 2024 · Isolated — no actual harm with potential for more
F-0700
E
Try different approaches before using a bed rail
Potential Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Oct 24, 2024 · Pattern — no actual harm with potential for more
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Oct 24, 2024 · 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: Oct 24, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: May 11, 2021 · Widespread — no actual harm
F-0036
C
Establish emergency prep training and testing
Minimal Harm

Establish emergency prep training and testing.

Survey date: May 11, 2021 · Widespread — no actual harm
F-0037
C
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: May 11, 2021 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
St. Ann's Community
13.9 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk
Maplewood Nursing Home Inc
13.9 km · Webster, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
The Brook at High Falls Nursing Home and Rehabilit
19.3 km · Rochester, NY
★★
CMS
29th
Risk %ile
Lower risk